Question

A 32-year-old pregnant patient at 31 weeks presents with severe-range BP 168/112 mm Hg with headache and 3+ reflexes. Platelets 180k, creatinine 0.8, mild transaminitis. Immediate management?

Accepted Answer

Start oral nifedipine immediate-release 10 mg and reassess in 20-30 min

Answer

Observe; repeat BP in 2 hours

Answer

Start spironolactone

Answer

Start oral lisinopril

Answer

Start IV nitroprusside

Practice question

A 32-year-old pregnant patient at 31 weeks presents with severe-range BP 168/112 mm Hg with headache and 3+ reflexes. Platelets 180k, creatinine 0.8, mild transaminitis. Immediate management?