Mild range pressures, possible Pre-E

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***# Mild-range pressure, rule out pre-eclampsia
- Patient risk factors for pre-eclampsia include ***
- Presently asymptomatic
- With mild-range pressure in Ob Triage, will collect CBC, CMP, P/Cr, and Uric Acid to assess labs for end organ damage
- In the interim, cycle BP q15m***


***# Pre-eclampsia, preterm, superimposed without severe features
- Diagnosed by SBP greater than 140mmHg / DBP greater than 90mmHg on two occasions at least four hours apart
- Diagnosed by a single SBP greater than 160 / DBP greater than 110 within a short interval***
- And proteinuria (P/Cr 300mg), thrombcytopenia, renal insufficiency, impaired liver function, cerebral or visual symptoms, pulmonary edema***
- given that this patient is preterm and without severe features, will admit, start 24h urine, start magnesium, and administer 12mg Betamethasone IM q24h for two doses for fetal pulmonary advancement, and then proceed with delivery if clinical picture persists.***
- If severe symptoms develop, delivery is indicated***
- 4g magnesium IV bolus followed by 2g/hr IV for eclampsia prophylaxis, continue until 24h postpartum***


***# HELLP syndrome; pre***term
- initiate 4g magnesium IV bolus followed by 2g/hr IV***
- treat severe range pressures as indicated***
- monitor CBC, CMP q6h; discontinue following appropriate reversal of trend***
- with thrombocytopenia, 10mg Dexamethasone IM q12h, followed by 5mg q12h IM x 2 doses until upward trend in platelets***
- expedite delivery, continue Mangesium until 24h postpartum***

The following labs were ordered in triage:
[ ] CBC
[ ] CMP
[ ] UA
[ ] PC ratio
[ ] Uric acid
[ ] LDH

Yellow *** markers = placeholders you fill in or delete per case.