Severe Hypertension in Pregnancy Bundle
Hypertension in Pregnancy Classification/ Preeclampsia Early Recognition:
- CMQCC Classification of hypertension in pregnancy (v. 1, p. 21)
- CMQCC Preeclampsia Early Recognition Tool (PERT) (v.1, p. 31)
- CMQCC Suspected Preeclampsia Algorithm (v. 1, p. 25)
Preeclampsia /Eclampsia Medication Toolbox:
Preeclampsia /Eclampsia Management Table/ Algorithm:
- Order Sets for Labetalol, Hydralazine, and Oral Nifedipine. ACOG Committee Opinion No. 623, Emergent Therapy for Acute-Onset, Severe Hypertension during Pregnancy and the Postpartum Period, Feb. 2015, p. 2-3.
- Severe Hypertension Antihypertensive Algorithm (adapted from ACOG District II Maternal Safety bundle to include ACOG Committee Opinion No. 623, February 2015 recommendations)
- ACOG District II Severe Hypertension in Pregnancy Checklist (* Labetalol dosages do not reflect ACOG Committee Opinion Number 623 dosages of 20, 40, 80 mg IV, then Hydralazine)
- CMQCC Labetalol and Hydralazine Recommendations (v. 1, p. 138) (* Labetalol dosages do not reflect ACOG Committee Opinion Number 623 dosages of 20, 40, 80 mg IV, then Hydralazine)
- CMQCC Protocol for Administration of Magnesium Sulfate (v. 1, p. 54)
- CMQCC Eclampsia algorithm, (v. 1, p. 108)
- ACOG District II Eclampsia Checklist
- CMQCC Daily Assessment for Delivery versus Continuing Pregnancy (v. 1, p.137)
- CMQCC Severe Preeclampsia and Management Options for Delayed Delivery (v. 1, p. 80)
- HELLP Syndrome FAQ Sheet
Preeclampsia /Eclampsia in the ED Management Table/Algorithm:
- ACOG District II Postpartum Preeclampsia in the Emergency Department Checklist
- CMQCC Evaluation and Treatment of Antepartum and Postpartum Preeclampsia and Eclampsia in the Emergency Department algorithm (v. 1, p. 109)
Preeclampsia Nursing Policy:
- CMQCC Nursing Assessment Frequency - Preeclampsia without Severe Features (Mild) (v. 1, pp. 38-39)
- CMQCC Sample Nursing Management Policy and Procedure (v. 1, p. 132-134)
- CMQCC Ante, Intra, Postpartum Nursing Management and Assessment of Preeclampsia: Maternal/ Fetal assessment and Monitoring Recommendations (v. 1, pp. 36-37)
Preeclampsia OB Hypertensive Emergency Team Debrief
To access the full CMQCC OB Hemorrhage Toolkit 2.0 (must set up free account): https://www.cmqcc.org/resources-tool-kits/toolkits/preeclampsia-toolkit (Individual Tools posted with permission by the California Department of Health)