What is the management of eclampsia?
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What is the management of eclampsia?
The only definitive treatment of eclampsia is delivery of the fetus. However, the mother must be stable before delivery – with any seizures controlled, severe hypertension treated and hypoxia corrected. This is the case regardless of any fetal compromise. Caesarean section is the ideal mode of delivery.
How will you manage a patient with preeclampsia?
Treatment of severe preeclampsia Medications to treat severe preeclampsia usually include: Antihypertensive drugs to lower blood pressure. Anticonvulsant medication, such as magnesium sulfate, to prevent seizures. Corticosteroids to promote development of your baby’s lungs before delivery.
What are the nursing management of eclampsia?
The overall management of preeclampsia includes supportive treatment with antihypertensives and anti-epileptics until definitive treatment – delivery. In preeclampsia without severe features, patients are often induced after 37 weeks gestation after with or without corticosteroids to accelerate lung maturity.
What is the initial management of eclampsia?
The initial treatment for eclampsia includes maintaining oxygen delivery to both mother and fetus, minimising the risk of aspiration, treating the seizure, and controlling hypertension.
What is the drug of choice for eclampsia?
Magnesium sulphate: the drug of choice in eclampsia.
What are the stages of eclampsia?
Eclamptic seizures may be divided into 2 phases. Phase 1 lasts 15-20 seconds and begins with facial twitching. The body becomes rigid, leading to generalized muscular contractions. Phase 2 lasts about 60 seconds.
What BP is preeclampsia?
Symptoms. Signs of preeclampsia in a pregnant woman include: Blood pressure of 140/90. Systolic blood pressure that rises by 30 mm Hg or more even it if is less than 140.
What are the complication of eclampsia?
Other potential complications of eclampsia include the following: Permanent neurologic damage from recurrent seizures or intracranial bleeding. Renal insufficiency and acute renal failure. Fetal changes – IUGR, abruptio placentae, oligohydramnios.
What are nursing safety measures to prevent pre eclampsia?
How can I prevent preeclampsia:
- Use little or no added salt in your meals.
- Drink 6-8 glasses of water a day.
- Avoid fried foods and junk food.
- Get enough rest.
- Exercise regularly.
- Elevate your feet several times during the day.
- Avoid drinking alcohol.
- Avoid beverages containing caffeine.
Which is the drug of choice in eclampsia?
How do you give MgSO4 IV?
ADMINISTRATION OF LOADING DOSE OF MgSO4 Using a 20 mL syringe, draw 4 g of MgSO4 50% (8 mL) □ Add 12 mL sterile water or saline to the same syringe to make a 20% solution □ Give this 4g MgSO4 20% solution IV over 5 – 20 minutes. If convulsions recur after 15 minutes, give 2 g of MgSO4 20% by IV over 5 minutes.
When do you administer MgSO4?
Magnesium sulfate (MgSO4) is the agent most commonly used for treatment of eclampsia and prophylaxis of eclampsia in patients with severe pre-eclampsia. It is usually given by either the intramuscular or intravenous routes.
Does MgSO4 reduce BP?
Abstract. Magnesium sulfate (MgSO4) infusion often lowers blood pressure, but the responsible mechanisms are not clear.
What is the most common complication of eclampsia?
The incidence of severe preeclampsia/eclampsia was 1.3% at Mpilo Central Hospital. The most common major complication was HELLP syndrome (9.1%).
What are the two steroid drugs for preeclampsia?
During this time, you may receive magnesium sulfate to prevent convulsions. You may also receive other medications to lower your blood pressure, such as hydralazine (Apresoline), and steroids, such as betamethasone to help your baby’s lungs develop. You’ll also need to stay in the hospital until delivery.
