Question

A 35-year-old woman at 34 weeks gestation presents with headache, visual disturbance and right upper quadrant pain. Blood pressure is 168 over 110 mmHg, and urine dipstick shows 3 plus protein. What is the most appropriate immediate pharmacological management?

Accepted Answer

Start intravenous Labetalol and give magnesium sulphate

Answer

Start ACE inhibitor therapy

Answer

Observe without treatment until labour starts spontaneously

Answer

Give high-dose diuretics to reduce blood pressure

Answer

Start Warfarin for thromboprophylaxis

Practice question

A 35-year-old woman at 34 weeks gestation presents with headache, visual disturbance and right upper quadrant pain. Blood pressure is 168 over 110 mmHg, and urine dipstick shows 3 plus protein. What is the most appropriate immediate pharmacological management?