PRE-ECLAMPSIA / ECLAMPSIA
Pre-eclampsia/Eclampsia is most commonly seen in the last 10 weeks of gestation, during labour, or up to 48 hours post-partum. It also may occur up to several weeks post-partum.
EMT/ADVANCED EMT STANDING ORDERS:
- Routine Patient Care.
- Ensure a quiet environment / dim lights / limited use of siren.
- If pregnant, place the patient in the left lateral recumbent position.
- Establish vascular access.
AEMT/PARAMEDIC STANDING ORDERS
For patients in the third trimester of pregnancy or postpartum who are seizing or who are post-ictal, consider:
- Magnesium sulfate, 4 grams in 10 mL D5W or 0.9% NaCl slow IV push over 5 minutes. See Seizures Protocol - Adult (13 Medical).