Pre-eclampsia and Eclampsia

According to the AV CPG's, what is considered *severe* HTN in the maternity patient?

SBP>170 and DBP>110

SBP>140 and DBP>90

SBP>150 and DBP>100

SBP>180 and DBP>110

What is the only definitive treatment for Eclampsia?

Midazolam as per the seizure guideline

Birth of the baby

Antihypertensives such as Nifidipine and Labetolol

Left lateral tilt and high flow O2

How do ALS manage HTN in the pre-hospital setting for the eclamptic and/or pre-eclamptic patient?

GTN patch

Call MICA

GTN tablet and patch until SBP<170

Consult PIPER for management of HTN

Can seizures occur post birth of the baby?

Yes, up until 48 hours post birth

No, the birth of the baby resolves the issue

Eclamptic seizures are usually self-limiting

True

False

Midazolam crosses the placenta and administration in pregnant patients may cause adverse effect to the baby. However, GCSE is life-threatening to mother and baby and therefore midazolam is still indicated in this situation.

True

False

According to the AV CPG's, what is considered *significant* hypertension in the pregnant patient?

SBP>150 and DBP>100

SBP of 130-150 and DBP>100

SBP 140-170 and DBP 90-110

SBP>180 and DPB>110

What position should these patients be transported in?

Position of comfort

McRoberts position

Left lateral tilt

Semi-recumbent

At what point of gestation does pre-eclampsia/eclampsia occur?

>12 weeks

>28 weeks

At any point of pregnancy

>20 weeks

Which is NOT considered a sign/symptom for pre-eclampsia/eclampsia as per the AV CPG's?

Headache, cerebral irritability/agitation, visual disturbances

Nausea/vomiting/abdo pain

Hyper-reflexia

Multiple pregnancies/births

Pre-eclampsia and Eclampsia

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