Preeclampsia / Eclampsia

Question 1

During which period of the pregnancy can we expect to see Preeclampsia?

Answer 1

Second half of pregnancy (>20 weeks) up to 6 weeks post partum

Question 2

What is the definition of Preeclampsia?

Answer 2

> 140/90
PLUS
Severe headache
Altered GCS
Visual disturbance
N/V
Abdo Pain
Hyper-reflexia
APO

Question 3

What is the definition of Severe Preeclampsia?

Answer 3

> 160/110 with proteinuria

Question 4

How much does Magnesium Sulphate decrease the likelihood of a eclampsia?

Answer 4

50%

Question 5

Is Magnesium Sulphate dangerous for the foetus?

Answer 5

No. It crosses the placenta readily but serves as a neuroprotectant

Question 6

Are Eclamptic seizures self limiting?

Answer 6

Yes

Question 7

Protocol for suspected severe Preeclampsia?

Answer 7

Magnesium 4g (16mmol) over 20 minutes
-in a 100mL bag = jsut under 2 drops/sec
PLUS
Quiet enviroment

Question 8

Protocol for suspected eclamptic seizure <5mins?

Answer 8

Magnesium 4g (16mmol) over 20 minutes
-in a 100mL bag = jsut under 2 drops/sec

Question 9

Protocol for suspected eclamptic seizure >5mins?

Answer 9

Midazolam
PLUS
Magnesium 4g (16mmol) over 20 minutes
-in a 100mL bag = jsut under 2 drops/sec