This podcast takes a deep dive into the presentation, diagnosis and management of preeclampsia and eclampsia.
Episode 113.0 – Preeclampsia + Eclampsia
Core EM - Emergency Medicine Podcast
September 18, 201710m 39s
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Show Notes
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
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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. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014: 178: 2282-2302
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