A 35-year-old multiparous woman was admitted to the hospital at 36 weeks' gestation for nausea, vomiting, and severe epigastric pain
On admission, her vital signs were as follows: pulse, 90 beats/min; blood pressure, 165/100 mm Hg; respiratory rate, 18 breaths/min; and temperature, 99.4° F. The patient reported blurred and double vision and a severe headache. The fetal heart rate was normal. She was placed on bed rest. Urine analysis revealed proteinuria. Her vital signs 6 hours later were as follows: pulse, 88 beats/min; blood pressure, 185/105 mm Hg; respirations, 16 breaths/min; and temperature, 98.4° F. The fetal heart rate was normal. Severe pre-eclampsia was diagnosed. Treatment goals of severe pre-eclampsia include a. maintaining maternal blood pressure greater than 140/90 mm Hg.
b. delaying delivery of the fetus as long as possible.
c. preventing maternal seizures, which may compromise fetal oxygenation.
d. limiting fluid intake to avoid postpartum edema.
C
The treatment goals of severe pre-eclampsia are to prevent seizures, decrease arterial spasms, and effect prompt delivery of the fetus. MgSO4 is the standard treatment for prevention and control of seizure activity in pre-eclampsia and eclampsia.
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