Eclampsia

 

Management:

Resuscitation

·      Left lateral decubitus

·      Suction

·      Oxygen

·      Jaw thrust

Seizure

·      MgSO4 4g over 20mins, then 1g/h (↓ in renal failure)

·      Midazolam 5mg or clonazepam 1mg, q5min

Blood pressure

·      Aim <160/100

·      Labetalol 20mg q5 mins

·      Hydralazine 5-10mg IV q15 mins

·      Diazoxide 15mg IV q5mins

Delivery

·      Call theatre/O&G/paeds

·      Medical optimization: Mg2+, ±steroid

·      CTG monitoring to guide urgency – usually within 48 hours
(i.e. medical emergency, not surgical emergency)

 

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