eclampsia

Question 1

initial management of eclampsia ?

Answer 1

1. make sure scene is safe
2. call for help
3. put them into lateral recovery position and tilt 15 degrees
4. 100% oxygen via non-rebreather
5. IV line, take BP
6. take preeclampsia bloods: FBC, renal and liver profile, coag, LDH

Question 2

what is first line to control seizures in eclampsia ?

Answer 2

IV magnesium sulfate (do not give diazepam or other anti-epileptics)
- Iv mag sulfate causes vasodilation and flushing warn the mother

Question 3

what is used to control hypertension in eclampsia?

Answer 3

1. IV labetalol and hydralazine (if post seizure)
2. oral labetalol, nifedipine, and alpha-methyldopa (if not yet seized)

Question 4

with regards delivery of a patient with eclampsia, do not deliver unless …

Answer 4

the mom is stable

Question 5

criteria for sepsis ?

Answer 5

pulse > 100 bpm
SBP < 90
resp > 20
ox > 95%
temp >38 or less than 36
cap refill time >4 sec
WCC <4 or >17 *10

Question 6

initial management of sepsis

Answer 6

1. take: blood (FBC, CRP, ESR) and blood cultures,
   - lactate,
   - urine output
2. give
   - antibiotics
   - oxygen
   fluids
3. give 3rd generation cephalosporin for pyelonephritis