What is the drug of choice for eclampsia?
Magnesium sulfate is the drug of choice for treating eclampsia. This review assesses its use for preventing eclampsia.
What is the treatment for a pregnant patient experiencing eclampsia?
The drug of choice to treat and prevent eclampsia is magnesium sulfate. Familiarity with second-line medications phenytoin and diazepam/lorazepam is required for cases in which magnesium sulfate may be contraindicated (eg, myasthenia gravis) or ineffective.
What do you do for an eclampsia seizure?
If you have eclampsia, your doctor will give you medicine (such as magnesium sulfate) to prevent a seizure from happening again and to control your blood pressure. The doctor will wait until your health is stable before delivering your baby.
Why does magnesium work in eclampsia?
It is also utilized for prophylactic treatment in all patients with severe preeclampsia. The mechanism of action of magnesium sulfate is thought to trigger cerebral vasodilation, thus reducing ischemia generated by cerebral vasospasm during an eclamptic event.
What is difference between eclampsia and preeclampsia?
Preeclampsia and eclampsia are pregnancy-related high blood pressure disorders. Preeclampsia is a sudden spike in blood pressure. Eclampsia is more severe and can include seizures or coma.
Is diazepam used in eclampsia?
The single drug therapy of diazepam can be introduced to effectively control convulsions in eclampsia. This treatment will have particular application in rural obstetrics where eclampsia is seen in severe form.
Which is the immediate nursing action during eclampsia?
Nursing Management Monitor blood pressure. Assess fetal heart rate. Send blood and urine for testing. Administer prescribed medications.
How do you dilute MgSO4 for eclampsia?
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.
What is the antidote for magnesium sulfate?
Calcium gluconate is the antidote for Magnesium Sulfate toxicity. If ordered, administer Calcium Gluconate 10%, IV Push, 10 ml over 3 minutes.
Is pre eclampsia fatal?
Preeclampsia usually begins after 20 weeks of pregnancy in women whose blood pressure had been normal. Left untreated, preeclampsia can lead to serious — even fatal — complications for both you and your baby.
Why is hydralazine given during pregnancy?
For many years, hydralazine has been the recommended antihypertensive of first choice for severe hypertension in pregnancy. Its side effects (such as headache, nausea, and vomiting) are common and mimic symptoms of deteriorating pre-eclampsia.
