Pregnancy Induced Hypertension (PIH)

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Section 7 - PEDIATRIC / OBSTETRICAL

7.04 PREGNANCY INDUCED HYPERTENSION (PIH)

INITIAL MEDICAL CARE (2.01). OXYGEN @100% via NRB mask or assist with BVM.

  • Seizure precautions.
  • GENTLE HANDLING. Minimal CNS stimulation.
  • Position patient on left side or raise right side of backboard approximately 30 degrees.
  • For systolic BP > 160 on two readings,
    • Administer MAGNESIUM SULFATE 4-6 gm IV added to 100cc NaCL using a dial-a-flow or buretrol over 10 minutes.
      • Contraindicated if renal disease.
  • If seizure occurs and the pt is hypertensive, refer to SEIZURE PRACTICE PARAMETER (5.12). Treat with VALIUM and call for orders on administration of MAGNESIUM SULFATE 4 gm IV over 30 minutes after seizure is controlled.