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Table 2 Tiered Maternal Physiologic Alerts

From: Use of a novel electronic maternal surveillance system to generate automated alerts on the labor and delivery unit

Parameter

Low Red

Low Black

Normal

High Black

High Red

Notes

Systolic Blood Pressurea

< 85 b

85–89

90–139

140–159

≥ 160

 

Diastolic Blood Pressurea

 

<  50

50–99

100–109

≥ 110

 

Temperaturec

 

<  36

<  38

≥ 38

≥ 38.5

 

Heart Rated

 

<  50

 

≥ 120

≥ 130

 

Pulse oximetry

<  93%

<  95%

≥ 95%

   

Oliguria

< 30 ml/hr

    

Alert is only triggered if a magnesium infusion is being administered.

Shock Index (heart rate divided by systolic blood pressure)

   

≥ 1.2

≥ 1.3

Alert will only trigger if systolic blood pressure is also < 105 mmHg, and patient is within 4 h of delivery.

Hematocrit

<  18%

<  21%

    

Glucosee

<  50, <  60

<  70

70–149

150–279

≥ 280

Glucose < 70 mg/dL alerts only if patient is on insulin or in in the operating room.

Glucose < 50 mg/dL creates a red alert for every patient.

Unmeasured Blood Glucose with Insulin Infusion

   

Blood glucose measured 2 hours ago.

Blood glucose measured 3 h ago.

 

Platelet Countf

 

<  80

    
  1. aUnits are millimeters of mercury
  2. bValues in bold typeface are parameters that will trigger a “flashing red” alert, which will also generate a page to clinicians
  3. cUnits are degrees Centigrade
  4. dUnits are beats per minute
  5. eUnits are milligrams per deciliter
  6. fUnits are thousands per microliter