Pre-eclampsia/Eclampsia CPG

Question 1

According to the CPG what are the sings and symptoms of pre-eclampsia?

Answer 1

- headache
cerebral irratability
visual disturbances
naueas and vommiting
heartburn/epigastric abdo pain
hyper reflexia
an elevation of 20mmhg above normal blood pressure

Question 2

What is the most common cause of seizures in pregnancy?

Does this differ if they are new onset and in the later half of pregnancy?

Answer 2

Most commonly epilepsy

If later and new onset than eclampsia

Question 3

How long do eclamptic seizures last?

Answer 3

usually no longer than 90 seconds and are self limiting

Question 4

what is the only definitve treatment of eclampsia?

Answer 4

Birth of the baby

Question 5

If there is an interhospital transfer of a paitent what managment is avalibale?

Answer 5

Nifedipine 10mg oral repeate after 30 mins

MICA
IV magnisium salfate, labetolol and hydralazine

Question 6

What is assesed before using this CPG?

Answer 6

Hypertension, pre-eclampsia sings, sizure activty and gestation >20 weeks

Question 7

what is the managment with siginifcant hypertnesion?

Answer 7

140-170

basic care and left lateral tilt

Question 8

what is the managment of sevre hypertenstion?

Answer 8

> 170 and pre-eclampsia symptoms

consult PIPER to manage hypertenesion

Question 9

What is the managment of seizures-ecalmpsia?

Answer 9

Manage as per seizure guideline

Post- airway support- mx birth or antepartum heamorrage