What is the management of severe pre-eclampsia/eclampsia?
Control BP, aim < 160/110
Labetalol
Nifedipine
Hydralazine
Give IV magnesium sulphate to severe pre-eclamptic women or those with seizures.
Do not use diazepam, phenytoin or other anticonvulsants as alternatives
Limit fluids to 80ml/hr, unless other ongoing losses
Do not routinely use volume expansion
As the pathophysiology is thought to be linked to the placenta, uncontrollable pre-eclampsia may require early delivery. However, symptoms may continue up to 24 hours post delivery.
