Management of Hypertension during Pregnancy
The main goal of anti-hypertensive drug is to keep the diastolic pressure between 90 mmHg and 100 mmHg to prevent cerebral hemorrhage.
Anti-hypertensive drug should be given when the diastolic pressure is more than 110 mmHg or 110 mmHg.
Give Hydralazine 5 mg IV slowly every 5 min until the blood pressure is lowered,Repeat hourly as needed or give hydralazine 12.5 mg IM every 2 hour as needed.
In case in Hydralazine is not available Labetalol can be used
Give Labetalol 10 mg IV, observe for the change in the blood pressure if the blood pressure remains above 110 mmHg after 10 min of the 1st dose , give Labetalol 20 mg IV.
Increase the dose to 40 mg and then 80 mg if the response is not satisfactory within the 10 minute of each dose.
Calcium Channel Blockers:
Nifedipine 5 mg chewed and swallowed or injected into the Oropharynx, this may be repeated at 10 minutes of interval if the response is not satisfactory.
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