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EMR
EMT
AEMT
Paramedic
Extended
OB Emergencies – Pre-Eclampsia/Eclampsia
OB Emergencies – Pre-Eclampsia/Eclampsia
Universal Patient Assessment
Adult IV/IO
Cardiac Monitor
Assess
for imminent delivery
Assessment and history of
pregnancy
Magnesium Sulfate
2g IV/IO
Over 5-10 minutes
If actively seizing and no IV
access:
Versed
10mg IM only
May repeat once in 3-5 minutes
at 5mg if necessary.
Versed should be given IM
regardless of IV presence.
Rapid Transport
Clinical Considerations
Signs of Pre-eclampsia:
BP > 140/90
Visual Disturbances
Abdominal (RUQ) Pain
Headache
Pulmonary Edema
Clinical Considerations
Eclampsia:
Seizures in a patient with
pregnancy induced
hypertension not caused by
other conditions (epilepsy,
stroke, hypoglycemia, etc)