Managing Postpartum Complications in the Emergency Department | Points & Pearls
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Managing Postpartum Complications in the Emergency Department (Pharmacology CME)

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  • Postpartum patients can present, without prior history, with new-onset high blood pressure, pre-eclampsia, or HELLP syndrome up to 6 weeks after delivery. The diagnostic criteria for postpartum pre-eclampsia are noted in Table 1.
  • Blood pressure >160 mm Hg systolic or >110 diastolic is considered severe; recheck in 15 minutes. If it remains elevated, antihypertensive therapy should be initiated; first-line therapy is beta blockers.
  • For eclamptic patients who are seizing, therapy includes a magnesium sulfate loading dose of 4-6 grams IV, followed by a maintenance dose of 1-2 grams/hr. Patients experiencing recurrent seizures may need additional doses or an infusion.
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Publication Information
Authors

Nicole Yuzuk, DO; Joseph Bove, DO; Riddhi Desai, DO

Peer Reviewed By

Jennifer Beck-Esmay, MD, FACEP; Elizabeth Leenellett, MD, FACEP

Publication Date

March 1, 2022

CME Expiration Date

March 1, 2025

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credits

Pub Med ID: 35195979

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CME Information

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