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A Standardized Nurse Initiated Protocol to Improve Management of Severe Hypertension in Pregnancy [29L]

RESULTS: A 29 year old primigravid female at 18 weeks gestation with a past medical history notable for GBS presented with reports of numbness and weakness in bilateral upper and lower extremities for 1 week. The patient was assessed, admitted and underwent evaluation with electromyogram and nerve conduction studies. Studies demonstrated progression of CIDP, with worsened demyelinating features with reduced conduction velocity and axonal involvement. Due to prior poor response to intravenous immunoglobulin, treatment with a limited course of plasmapheresis to prevent disease progression was successfully conducted. The patient subsequently experienced a successful term delivery of a female neonate.