A 30-year-old primigravida at 36 weeks’ gestation presents with severe headache, visual disturbance and epigastric pain. BP is 168/110 mmHg and urinal...

Question

A 30-year-old primigravida at 36 weeks’ gestation presents with severe headache, visual disturbance and epigastric pain. BP is 168/110 mmHg and urinalysis shows 3+ protein. What is the most appropriate immediate pharmacological management?

Accepted Answer

Give intravenous Magnesium sulphate for seizure prophylaxis and start antihypertensive therapy such as Labetalol

Answer

Start oral Labetalol only

Answer

Give oral Nifedipine only and discharge

Answer

Start ACE inhibitor therapy

Answer

Give Aspirin 300 mg and observe

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

A 30-year-old primigravida at 36 weeks’ gestation presents with severe headache, visual disturbance and epigastric pain. BP is 168/110 mmHg and urinalysis shows 3+ protein. What is the most appropriate immediate pharmacological management?