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Re: A case of preeclampsiaFrom: Ealgail@aol.comFri Jan 31 16:37:14 1997
She should receive a loading dose of MgSO4 (4-6 grams) and 2-3 gms/hour on admission. She should then have labs drawn including DIC profile, pre-eclampsia profile, to r/o HELLP syndrome. Dizziness and nausea suggest increased intracranial pressure. Having had a blood pressure that high, she could have an intracranial bleed and should have an MRI or CT scan to r/o a bleed. If scans are negative and labs don't show critical levels (e.g. platelets below 50,000), then give steroids, treat the blood pressure and try to get 24-48 hours to give the steroids time to work for lung maturity. Linda Linda Morrison-Boczar, MD, MBA, FACOG Asst. Prof. IU School of Medicine
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