A 29-year-old primigravida at 35 weeks gestation presents with severe headache, visual disturbance and right upper quadrant pain. Her blood pressure i...

Question

A 29-year-old primigravida at 35 weeks gestation presents with severe headache, visual disturbance and right upper quadrant pain. Her blood pressure is 170/115 mmHg and urine dipstick shows 3+ protein. What is the most appropriate immediate pharmacological management?

Accepted Answer

Give intravenous Magnesium Sulphate and antihypertensive therapy and involve obstetrics urgently

Answer

Start oral Labetalol and plan routine antenatal review

Answer

Start oral Methyldopa and discharge home

Answer

No treatment is required until she seizes

Answer

Give high-dose diuretics to reduce blood pressure

uk-plab-1 MCQ (SBA): Severe pre-eclampsia

A 29-year-old primigravida at 35 weeks gestation presents with severe headache, visual disturbance and right upper quadrant pain. Her blood pressure is 170/115 mmHg and urine dipstick shows 3+ protein. What is the most appropriate immediate pharmacological management?