ACKNOWLEDGEMENTS................................................................................................... 3
EXECUTIVE SUMMARY.................................................................................................... 5
HOW TO USE THIS TOOLKIT......................................................................................... 10
BACKGROUND, PREPARATION AND MANAGEMENT................................................. 10
INTRODUCTION AND HISTORICAL PERSPECTIVE..................................................... 12
CLINICAL PEARLS................................................................................................ 15
CLASSIFICATION AND DIAGNOSIS OF HYPERTENSIVE DISORDERS OF PREGNANCY
.................................................................................................................................... 19
SUSPECTED PREECLAMPSIA ALGORITHM...................................................... 25
PATIENT CARE AND TREATMENT RECOMMENDATIONS.......................................... 26
ACCURATE BLOOD PRESSURE MEASUREMENT............................................ 26
EARLY RECOGNITION......................................................................................... 29
PREECLAMPSIA EARLY RECOGNITION TOOL (PERT)........................... 31
PROTEINURIA ...................................................................................................... 32
ANTE, INTRA, POSTPARTUM NURSING MANAGEMENT AND ASSESSMENT OF
PREECLAMPSIA: MATERNAL/FETAL ASSESSMENT AND MONITORING
RECOMMENDATIONS.................................................................................... 36
OUTPATIENT MANAGEMENT OF PREECLAMPSIA .......................................... 40
CHRONIC HYPERTENSION IN PREGNANCY..................................................... 42
ANTIHYPERTENSIVE AGENTS IN PREECLAMPSIA.......................................... 46
SAMPLE PREECLAMPSIA/ECLAMPSIA MEDICATION BOX .................... 49
MAGNESIUM SULFATE ....................................................................................... 51
ECLAMPSIA ALGORITHM .......................................................................... 58
SAMPLE PREECLAMPSIA/ECLAMPSIA MEDICATION BOX .................... 59
TEAMWORK AND COMMUNICATION................................................................. 60
THE ROLE OF MEDICAL SIMULATION............................................................... 70
FLUID MANAGEMENT IN PREECLAMPSIA ........................................................ 72
AIRWAY MANAGEMENT IN PREGNANT OR POSTPARTUM WOMEN HAVING
SEIZURES ....................................................................................................... 75
SPECIAL CIRCUMSTANCES: SEVERE PREECLAMPSIA AT < 34 WEEKS ...... 78
CONSULTATION TRIGGERS IN SEVERE PREECLAMPSIA FOR ALL OBSTETRIC
UNITS............................................................................................................... 87