PRE-ECLAMPSIA

Question 1

Clinical Features

Answer 1

Over 20 weeks gestation or postpartum

BP >140/90 with proteinuria

Severe preeclampsia features:

Thrombocytopenia
Renal insufficiency
Impaired liver function
Pulmonary edema
Neurological symptoms: Headache or vision change

Question 2

Investigations

Answer 2

CBC
CMP
UA

Question 3

Management

Answer 3

BP control with hydralazine 5 mg IV OR labetalol 10 mg IV OR nifedipine 10 mg PO
If seizure (eclampsia): IV Magnesium in 4-6 g load IV over 5 min and then 1-2 g/h