Eclampsia_Flashcards
What is the initial approach to managing eclampsia?
The initial approach is the ABCDE approach and calling for senior help.
What is the IV loading dose of magnesium sulphate for eclampsia?
The IV loading dose of magnesium sulphate is 4g (in 100ml 0.9% NaCl) over 5-10 minutes.
How long should the IV magnesium sulphate infusion be continued after the last seizure or delivery?
The IV magnesium sulphate infusion should be continued for 24 hours after the last seizure or after delivery.
What should be done if recurrent seizures occur during eclampsia management?
If recurrent seizures occur, give a second loading dose of 4g over 5-15 minutes and involve an anaesthetist.
What are the signs of magnesium sulphate toxicity, and how should they be monitored?
Signs of toxicity include respiratory depression and arrhythmias. Monitor HR, BP, RR, and deep tendon reflexes every 4 hours.
What is the antidote for magnesium sulphate toxicity?
The antidote for magnesium sulphate toxicity is 10ml of 10% calcium gluconate over 10 minutes, and the magnesium sulphate infusion should be stopped.
What antihypertensive options are available for managing eclampsia?
Antihypertensive options include IV/oral labetalol, oral nifedipine, or IV hydralazine.
What is the only definitive treatment for eclampsia?
The only definitive treatment for eclampsia is expedited delivery.
What conditions must be met before expediting delivery in eclampsia?
The mother must be stable before delivery. A C-section is most likely, unless maternal BP is well-controlled and the foetus is not severely compromised, in which case vaginal birth can be considered.
What additional treatment should be considered if gestation is less than 34 weeks?
Antenatal corticosteroids should be considered if gestation is less than 34 weeks.
