You are caring for a 42-year-old woman who is 32 weeks pregnant with twins. She is complaining of a severe headache and blurred vision, and lives in a rural area approximately 30 miles from the nearest ED. Your physical exam reveals significant peripheral edema and the following vital signs: heart rate 98, blood pressure 156/98 mmHg, respirations 18. The patient states she has a history of hypertension, but has not taken her prescribed medications because "they aren't safe for the babies." Appropriate treatment for this patient includes:

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The patient is exhibiting signs and symptoms of preeclampsia, a potentially life-threatening condition for both the patient and the unborn babies. The patient's history of hypertension and lack of medication compliance makes this diagnosis even more likely. The appropriate treatment for preeclampsia is magnesium sulfate, which can help prevent seizures and improve outcomes for both the patient and babies. Rapid transport to the nearest ED is also necessary for further management and observation of the patient and babies. Nitroglycerine and calcium chloride are not indicated in this case, and administration of aspirin could potentially worsen the patient's condition.

You Are Caring for a 42-Year-Old Woman Who Is 32