Pre-Eclampsia (Deep Dive MW R17‪)‬ EM Clerkship

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