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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