Signs/Symptoms Mild Preeclampsia Severe Preeclampsia

Blood Pressure 140/90, diastolic BP is more than

100mmHg
Diastolic is 110mmHg or higher
Proteinuria +1 - +2 by dipsticks
300mg/24 hour urine collection
+2 - +4
5g/24 hour urine collection
Liver enzymes Slightly elevated Markedly elevated
Laboratory studies Normal hematocrit, uric acid,
creatinine
Increased Hct, Crea and UA;
thrombocytopenia may be present
Fetus No IUGR IUGR present
Edema Digital edema, dependent edema Pitting edema (4+)
Generalized edema
Weight Gain 1 – 2 lb/week More rapid weight gain
Urinary Output Not less than 400ml/24 hours Less than 400 ml/24 hours
Cerebral Disturbances Occasional headache Severe frontal headache,
photophobia, blurring, spots
before the eyes (scomata), n/v
Reflexes Normal to 3+ Hyperreflexia, 4+
Epigastric Pain Absent RUQ pain (aura to convulsion) d/t
swelling of hepatic capsule

S/Sx of Eclampsia:
1. All the S/Sx of preeclampsia
2. Convulsion followed by coma
3. Oliguria
4. Pulmonary edema