Preeclampsia: treatment

Evidence-based neurology checklist on preeclampsia: treatment: Magnesium sulphate The dose is 5g IV over 20 minutes followed by 2g/hour infusion It is administered as 10 ml 50% magnesium sulphate in 200 ml normal saline The magnesium concentration is measured after 30–60 minutes and then 6-hourly…

Magnesium sulphate

  • The dose is 5g IV over 20 minutes followed by 2g/hour infusion
  • It is administered as 10 ml 50% magnesium sulphate in 200 ml normal saline
  • The magnesium concentration is measured after 30–60 minutes and then 6-hourly
  • The therapeutic range is maintained at 2–3 mmol/L

Aspirin prophylaxis

Other treatments

Acronym

References

  1. Bushnell C, Chireau M. Preeclampsia and stroke: risks during and after pregnancy. Stroke Res Treat 2011; 2011:858134.
  2. Sawle GV, Ramsay MM. The neurology of pregnancy. JNNP 1998; 64:711-725.
  3. Schoen JC, Campbell RL, Sadosty AT. Headache in pregnancy: an approach to emergency department evaluation and management. West J Emerg Med 2015; 16:291-301.
  4. Rolnik DL, Wright D, Poon LC, et al. Aspirin versus placebo in pregnancies at high risk for preterm preeclampsia. N Engl J Med 2017; 377:613-622. 
  5. Atallah A, Lecarpentier E, Goffinet F, Doret-Dion M, Gaucherand P, Tsatsaris V. Aspirin for prevention of preeclampsia. Drugs 2017; doi: 10.1007/s40265-017-0823-0 (Epub ahead of print).
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