Eclampsia Flashcards
1
Q
Call for Help
A
- 2222
- obstetric emergency
- SOAPS
- protect her- lie bed flat, sides up, leave until finishing seizuring
2
Q
Airway
A
- left lateral positioning
- head tilt, chin lift
- suctioning if saliva is an obstruction
- consider airway adjunct
3
Q
Breathing
A
- high flow O2 10-15L via a non re-breath mask
- check for fogging
- signs of respiratory distress
4
Q
Circulation
A
- IV access 2x14g cannula
- bloods- FBC, G+S, LFT, U&Es, coag, cross match
- fluids (restricted- increased risk of pulmonary oedema)- up to 1L crystalloid fluid- 1ml/kg/hr
- urinary catheter- 0.5mls/kg/hr
- obs every 3-5 mins
- fluid balance chart
5
Q
Disability
A
- AVPU
- pupil size
- drugs
- blood glucose
6
Q
Exposure
A
- observe top to toe- external injuries from fitting
- temperature
7
Q
Immediate Care
A
- commence magnesium sulphate loading dose- 4g IV over 5 mins
- infusion rate- 1g/hr for 24 hours
- ensure continuous O2 sats monitoring
- consider fetal distress- expedite birth if needed and alert NICU
8
Q
Ongoing Care
A
- consider MgSO4 toxicity- stop infusion
- monitor for signs- less than 12 resps
- antidote- calcium gluconate 1g in 10mls 1ml/min
- obstetric review for antihypertensive
- 4 hourly senior review
- alert team members- possible current seizures
9
Q
Antihypertensive
A
- labetalol
- nifedipine
- hydralazine
