Got a hypertensive pregnant patient?
Preelampsia: Hypertension >140/90 with proteinuria >300mg/24hours
Eclampsia: Addition of SZ activitity, signs of end organ involvement (i.e. visual complaints and headache, creatinine elevation)
Watch out for HELLP! Hemolysis, elevated liver enzyme, low platelets
Treatment: Expectant management, delivery if possible, treat seizures with Magnesium Dose: 6g loading followed by 2g/hour
Learning point from recent patient: Preeclampsia can occur up to 6 weeks post-partum, IV or oral labetolol and oral nifedipine and labetolol are safe medications to control hypertension in pregnant and post-partum females (including breastfeeding mom’s).
Hydralazine is an option for BP control too. That seemed to be the drug of choice when I was on L&D if I remember correctly.