September 18, 2017

Episode 113.0 – Preeclampsia + Eclampsia

10 minutes

This podcast takes a deep dive into the presentation, diagnosis and management of preeclampsia and eclampsia.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_113_0_Final_Cut.m4a

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Tags: Eclampsia, Hypertensive Disorders of Pregnancy, Obstetrics, Preeclampsia

Show Notes

Take Home Points

Suspect preeclampsia in any pregnant women presenting with epigastric/RUQ pain, severe or persistent headache, visual disturbances, nausea or vomiting, shortness of breath, increased edema or weight gain

Evaluate for preeclampsia by looking at the blood pressure, urine for protein and obtaining a panel to evaluate for HELLP syndrome

Severe preeclampsia and eclampsia are treated with bolus and infusion of MgSO4

Emergency delivery is the “cure” for preeclampsia and eclampsia. Consult obstetrics early for an evaluation for delivery

Don’t forget to consider preeclampsia and eclampsia in the immediate postpartum period

Read More

Core EM: Preeclampsia and Eclampsia

LITFL: Preeclampsia and Eclampsia

LITFL: Eclampsia

EM Curious: ED Management of Severe Preeclampsia

Houry DE, Salhi BA. Acute Complications of Pregnancy. In: Marx, J et al, ed. Rosen’s Emergency Medicine. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014: 178: 2282-2302

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