Episode 113.0 – Preeclampsia + Eclampsia

Show Notes

Take Home Points

• Suspect preeclampsia in any pregnant women presenting with epigastric/RUQ pain, severe or persistent headache, visual disturbances, nausea or vomiting, shortness of breath, increased edema or weight gain
• Evaluate for preeclampsia by looking at the blood pressure, urine for protein and obtaining a panel to evaluate for HELLP syndrome
• Severe preeclampsia and eclampsia are treated with bolus and infusion of MgSO₄
• Emergency delivery is the “cure” for preeclampsia and eclampsia. Consult obstetrics early for an evaluation for delivery
• Don’t forget to consider preeclampsia and eclampsia in the immediate postpartum period

Read More

Core EM: Preeclampsia and Eclampsia

LITFL: Preeclampsia and Eclampsia

LITFL: Eclampsia

EM Curious: ED Management of Severe Preeclampsia

Houry DE, Salhi BA. Acute Complications of Pregnancy. In: Marx, J et al, ed. Rosen’s Emergency Medicine. 8^th ed. Philadelphia, PA: Elsevier Saunders; 2014: 178: 2282-2302