A female of 36 weeks gestation presents with hypertension, blurring of vision and headache. Her blood pressure reading was 180/120 mm Hg and 174/110 mm Hg after 20 minutes. How will you manage the patient?
Correct Answer: Admit the patient, start antihypertensives, MgSO4 and terminate the pregnancy
Description: In the question, patient is pres enting with
Headache
Blurring of vision
B/P = 180/120 mm of Hg (later 174/110 mm of Hg)
i.e. she is a case of severe pregnancy induced hypertension.
First step in the management of this case would be to prevent seizures i.e. give MgSO4.
Her B/P should be controlled with antihypertensive and since pregnancy is >34 weeks, therefore terminate pregnancy (which is the definitive management).
Category:
Gynaecology & Obstetrics
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