HRP eclampsia and pre-eclampsia

Question 1

how do you calculate mean arterial pressure ?

Answer 1

( systolic + 2D)
____________
3

Question 2

what are the signs and symptoms associated with grand mal seizures of eclampsia ?

Answer 2

tonic clonic seizures
may have cyanosis
tongue biting
urinary incontinence

Question 3

what is the management upon onset of grand mal seizures ?

Answer 3

call for help 
turn woman on her side 
give oxygen and protect airways
urinary catheter 
blood tests regularly

Question 4

what is the medical management of eclampsia related seizures ?

Answer 4

magnesium sulphate should be administered loading dose 4-6 mgs (1-2 mg hour infusion )
IV saline

Question 5

if magnesium sulphate is unavailable which medication should be given ?

Answer 5

diazepam

Question 6

what is the significance of fetal bradycardia in relation to CS ?

Answer 6

fetal bradycardia is a frequent finding

best to avoid urgent CS for the bradycardia until mother is stable

Question 7

diuretics in eclampsia ?

Answer 7

contraindicated the patient is already hypovolemic

Question 8

what drugs can be taken to lower BP inn eclampsia ?

Answer 8

labetalol
hydralazine
methyldopa
nifedipine

Question 9

what are the signs of magnesium toxicity ?

Answer 9

loss of reflexes
respiratory depression
paralysis
cardiac arrest

Question 10

what is the antidote for magnesium toxicity ?

Answer 10

calcium gluconate