How is hypertension treated in patients with eclampsia?

Updated: Apr 18, 2019
  • Author: Michael G Ross, MD, MPH; Chief Editor: Ronald M Ramus, MD  more...
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Answer

Answer

Severe hypertension must be addressed after magnesium infusions. Hydralazine or labetalol can be administered IV for BP control. The goal is to maintain systolic BP between 140 and 160 mm Hg and diastolic BP between 90 and 110 mm Hg. An IV bolus of hydralazine (5-10 mg q20min prn) or labetalol (20-40 mg q15min prn) is recommended. Other potent antihypertensive medications, such as sodium nitroprusside or nitroglycerin, can be used but are rarely required. [2]


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