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All patients require admission for immediate obstetric consultation and delivery r2
Promptly initiate antihypertensive therapy in patients who have persistent (15 minutes or more) hypertension with systolic blood pressure greater than 160 mm Hg or diastolic blood pressure greater than 110 mm Hg, or both r1
Administer magnesium sulfate for seizure prophylaxis r1
Delivery is definitive treatment for cases during pregnancy (although postpartum cases occur)
Corticosteroids do not appear to reduce mortality and morbidity r1r20r21
Closely monitor vital signs and fluid balance
Consider platelet transfusion in actively bleeding patients with platelet count less than 50,000/mm³, before vaginal delivery in those with platelet count less than 20,000/mm³, and before cesarean delivery in those with platelet count less than 40,000 to 50,000/mm³. r12r15r16r17c82