Eclampsia Flashcards

1
Q

what is this

A

severe pre-eclampsia is complication with generalised convulsions

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2
Q

what is PRE eclampsia

A

hypertension disorder of pregnancy with multi-organ involvement

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3
Q

what is PRE eclampsia characterised by

A

new onset raised bp

proteinuria - after 20 weeks of gestation

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4
Q

Pre-eclampsia is most common in the?

A

antepartum - 50%
intrapartum - 30%
post partum - 20%

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5
Q

why does pre-eclampsia occur

A

result of cerebral oedema and/or cerebral haemorrhage

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6
Q

Clinical features (4)

A
  • headache
  • bp > 160 bpm systolic
  • hyperflexia
  • visual changes
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7
Q

the seizures are

A

tonic clonic

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8
Q

important differentials for eclampsia (3)

A
  • epilepsy
  • encephalitis
  • metabolic disorders
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9
Q

How is eclampsia managed

A

emergency !!!
ABC APPRAOCH

  • secure airway, IV access, take bloods
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10
Q

What bloods should be taken for assessment (4)

A

LFT
U&E
COAGULATION
FBC

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11
Q

Management (3) give examples

A

magnesium sulphate
anti-hypertensives - labetolol, hydralazine
prompt delivery

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12
Q

how is magnesium sulphate given?

HOW DOES IT WORK?

A

IV

  • cerebral dilatation
  • blocks calcium at the synaptic nerve endings
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13
Q

when should magnesium sulphate be continued

A

24 hours after delivery

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14
Q

What should be monitored whilst on magnesium sulphate ?

A

RR
urine output
reflexes

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15
Q

what should be given if toxicity from magnesium sulphate occurs?

A

calcium gluconate

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16
Q

what is the only cure for eclampsia

- what complications should be looked out for?

A

delivery

  • HELP syndrome
  • DIC
  • acute resp distress
  • pulmonary oedema
  • aspiration
  • fetal hypoxia
  • increased maternal mortality
17
Q

what is given to decrease the risk of pre-eclampsia in subsequent pregancies?

A

low dose aspirin from 12 weeks gestation