1. Scenario 8.1
Eclampsia

2. Fetal Heart Monitoring

3. Bedside ultrasound
Fetal heart rate of 155 bpm, near-term fetus (head down), no free fluid noted

4. Head CT
Normal

5. Chest X-ray

6. CBC WBC 14.6 3.5-11 x 109/L HGB 12.4 11-15 g/dL HCT 36.3 30-43% PLT
145
x 109/L

7. BMP Glucose 118 65-100 mg/dL BUN 15 5-20 mg/dL Sodium 138
meq/L
Potassium
4.1
meq/L
Chloride
103
meq/L
CO2 26
22-32 meq/L
Creatinine
0.9
mg/dL

8. Lactate
Lactate
2.86
mmol/L

9. Coagulation Panel PT 13.5 11.0-15.0 s INR 1.0 0-4.0 PTT 28.0

10. LFTs T. bili 0.3 <1.0 mg/dL D. bili 0.2 <0.4 mg/dL AST 44
8-43 U/L
ALT 38
7-45 U/L
Alk. phos. 90
37-98 U/L

11. Urinalysis Clarity clear Color yellow Glucose negative negative mg/dL
Bilirubin
Ketones
Sp. grav.
1.050
Blood pH
5.2
Protein
Urobilinogen
<0.2 EU/dL
Nitrites
Leukocytes
Urinanalysis

12. Pregnancy Test
Urine HCG
positive