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Preeclampsia, HTN, eclampsia, HELLP

  • Labs

    • CBC, chem
    • LFTs
    • LDH
    • UA
  • Tx

    • OB consult
    • Mg sulfate 4-6 g IV over 20 min, followed by 1-2 g/h
    • monitor reflexes
    • if HTN > 160/110
      • labetalol 20 mg IV bolus, followed repeat boluses of 40-80 mg (max 300 mg)
      • or hydralazine 5 mg, followed by 5-10 mg IV q 10 min
    • delivery is definitive tx
  • Preeclampsia criteria

    • HTN > 140/90
    • proteinuria
    • over 20 weeks until 4-6 weeks postpartum
  • Eclampsia criteria

    • preeclampsia + seizure
  • HELLP criteria

    • schistocytes on smear
    • plt < 150,000
    • elevated AST, ALT

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.