Severe HTN in Pregnancy / Eclampsia

Labetalol / hydralazine + MgSO4

First 30 seconds

  1. 1ABCDE, left lateral tilt
  2. 2IV access
  3. 3Continuous CTG >24 wk
  4. 4MgSO4 4 g IV over 5 min then 1 g/h
A

Airway

  • Patency, protect
  • Adjuncts / definitive airway
B

Breathing

  • RR, SpO₂
  • O₂ to target sats
C

Circulation

  • HR, BP, IV access
  • Fluids/vasopressors
D

Disability

  • AVPU/GCS, pupils, glucose
E

Exposure

  • Full exposure, bleeding, source
View flowchart algorithm

Related in WardRound

WardRound

WardRound

Clinical Decisions in Seconds