Aliases
Pregnant seizures, toxemia of pregnancy
Patient Care Goals
- Recognize serious conditions associated with pregnancy and hypertension
- Prevention of eclampsia-related seizures
- Provide adequate treatment for eclampsia-related seizures
Patient Presentation
Inclusion Criteria
- Female patient, more than 20-weeks’ gestation, presenting with hypertension and evidence of end organ dysfunction, including renal insufficiency, liver involvement, neurological, or hematological involvement
- May occur up to 4-weeks post-partum but is rare after 48 hours post-delivery.
- Severe features of pre-eclampsia include:
- Severe hypertension (SBP 160, DBP 110)
- Headache
- Mental confusion
- Vision changes
- Right upper quadrant or epigastric pain
- Pulmonary edema
- Eclampsia
- Pre-eclampsia symptoms plus seizures
- Eclampsia/pre-eclampsia associated with abruptio placenta and fetal loss
Exclusion Criteria
Chronic hypertension without end organ dysfunction.
Patient Management
Assessment
- Obtain history
- Gestational age or recent post-partum
- Symptoms suggestive of end organ involvement such as headache, confusion, visual disturbances, seizure, epigastric pain, right upper quadrant pain, nausea, and vomiting
- Previous history of hypertension or known pre-eclampsia
- Monitoring
- Vital signs including repeat blood pressures every 10 min
- Secondary survey pertinent to obstetric issues:
- Constitutional: vital signs, orthostatic vital signs, skin color
- Abdomen: distention, tenderness
- Genitourinary: visible bleeding
- Neurologic: mental status
Treatment and Interventions
- Severe hypertension (SBP greater than 160 or DBP greater than 110) lasting more than 15 min with associated preeclampsia symptoms
- Magnesium sulfate – 4 g IVPB over 20 min.
- Reassess vital signs every 10 min during transport
- Seizures associated with pregnancy greater than 20-weeks’ gestation
- Magnesium sulfate
- 4 g IVPB over 20 min
- Contact direct medical oversight for additional orders if persistent seizure despite initial magnesium (may give additional 1-2 g IV over 5 min)
- Benzodiazepine, per Seizures guideline, for active seizure not responding to magnesium – Caution: respiratory depression
- Magnesium sulfate
- IV fluids:
- Saline lock
- Disposition
- Transport to closest appropriate receiving facility
- Patients in second or third trimester of pregnancy should be transported on left side or with uterus manually displaced to left if hypotensive