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Deep Dive MW R17
Hypertensive Emergencies of Pregnancy
PreEclampsia, Eclampsia, HELLP syndrome
Diagnosis: BP >140/90 plus end organ dysfunction
* Acute Kidney Injury
* Proteinuria
* Thrombocytopenia
* Transaminitis
* Hemolysis
* Pulmonary Edema
* Cerebral Edema / Hemorrhage
* Headache refractory to tylenol
* Visual Changes
* RUQ Pain not attributable to another diagnosis
Treatment
* Loading Dose: IV Magnesium 4-6g over 20-30 min OR 5g IM in each buttock
* Maintenance Dose: 1g/hr IV
* Antihypertensives (goal 20% reduction): Labetalol, Nicardipine, Hydralazine
* Delivery of fetus and placenta
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By Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MDHypertensive Emergencies of Pregnancy
PreEclampsia, Eclampsia, HELLP syndrome
Diagnosis: BP >140/90 plus end organ dysfunction
* Acute Kidney Injury
* Proteinuria
* Thrombocytopenia
* Transaminitis
* Hemolysis
* Pulmonary Edema
* Cerebral Edema / Hemorrhage
* Headache refractory to tylenol
* Visual Changes
* RUQ Pain not attributable to another diagnosis
Treatment
* Loading Dose: IV Magnesium 4-6g over 20-30 min OR 5g IM in each buttock
* Maintenance Dose: 1g/hr IV
* Antihypertensives (goal 20% reduction): Labetalol, Nicardipine, Hydralazine
* Delivery of fetus and placenta