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