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