2. 1. What is Pre-E?
2. Sign and symptoms of Pre-E
3. Severe range BP criteria
4. Complications from sustained
HBP’s
5. Diagnosis of Gestational HTN
3. 1. Triage: Pt’s presenting with any of these:
HA, SOB, visual changes, abdominal
pain, RUQ pain should be seen as soon
as possible. Remember: pt.’s can be
sent from clinic with HBP’s.
2. R/O Pre-E
4. 1. Obtain vitals after 5 minutes of rest after
getting into the room. A short history of
when s/s presented and any meds taken.
2. BP > 160/110 mmHg, What to do
next???
3. Notify MD or CNM of BP. Send urine and
labs (CBC, liver enzymes), gain IV access.
Perform mini assessment.Document your
findings REMEMBER: keep pt. in same
position in which the BP was taken.
Changing positions can alter the next BP.
4. Serial BP’s in progress
5. Encourage a quiet environment, dim lights
and electronics are put away. It’s a time to
relax.
6. Next BP >160/110mmHg. YIKES!!! Stay
calm, Notify MD,.
5. Treatment of HBP’s/Pre-E
If BP reduction is
achieved do not give
any more meds
All three can be used as
first line drugs to treat
blood pressures that
measure greater than
160/110 mmHg.
BP protocol after
administration of meds:
Q 10mins x 1Hr
Q 15mins x 1Hr
Q 30mins x 1 Hr
Q 4 Hrs
New Guidelines from
ACOG
Management of HBP
can either utilize
Labetalol, Hydralazine
and oral Nifedipine.
*Mag sulfate is still first
drug of choice for
seizure prophylaxis
6. Our goal is to provide a safe environment for mom and
baby.
Remember to remain calm, always use Team STEPPS techniques to
communicate with your team and effective care will be given in a timely
manner. We want mom to say “No baby yet” as close to her 40 weeks as
possible.
American College of Obstetrics and Gynecology. (2015). Committee Opinion: Emergent therapy for acute-onset, severe hypertension during pregnancy and the
postpartum period. Obstetrics and Gynecology. Issue 623 Vol. 125(2).
