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Checklist Severe Hypertension in Pregnancy
Checklist Severe Hypertension in Pregnancy
Pregnancy Checklist
Antihypertensive medications
Antenatal corticosteroids (if <34 weeks of gestation)
• Labetalol (20, 40, 80, 80 mg IV* over 2 minutes, Re-address VTE prophylaxis requirement
escalating doses, repeat every 10 minutes or 200
Plan brain imaging studies if:
mg orally if no IV access); avoid in asthma or heart
• unremitting headache
failure, can cause neonatal bradycardia
• focal signs and symptoms
• Hydralazine (5-10 mg IV* over 2 minutes, • uncontrolled high blood pressure
repeat in 20 minutes until target blood pressure • lethargy
is reached) • confusion
• Repeat blood pressure every 10 minutes during • seizures
administration • abnormal neurologic examination