Eclampsia

 

Management:

Ensure maternal oxygenation

·      Left lateral decubitus

·      Suction

·      Manoeuvres

·      Guedel

·      Bag + mask

Ablate seizure

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

·      Midazolam 5mg or clonazepam 1mg, q5min

Control blood pressure

·      Aim SBP <150, DBP <90

·      Labetalol 20mg q5 mins

·      Hydralazine 5-10mg IV q15 mins

·      Diazoxide 15mg IV q5mins

Deliver baby

·      Call theatre

·      Set up for GA

·      CTG monitoring to guide urgency

 

Feedback welcome at ketaminenightmares@gmail.com