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cce_obstetrics_pre-eclampsia (severe (IV MgSO4 (maintenance dose (IV…
cce_obstetrics_pre-eclampsia
history
complications
impending eclampsia
investigations
blood
blood pressure, 24 hour urine
cbc, clotting, LFTRFT (cross-match)
urate, autoimmune
imaging
USG
fetal
CTG
physical examination
further assessment
general
abdominal
speculum
(neuro, liver, hemat) IMPENDING ECLAMPSIA
(maternal, fetal) COMPLICATIONS
emergency
Doptone
vitals
airway, breathing, circulation
prevention
aspirin
12-37 weeks
80 mg
mild
34 weeks
v favorable
spontaneous vaginal delivery (if no contraindications to vaginal delivery)
x favorable
induction of labour (if no contraindications to vaginal delivery)
< 34 weeks
dexamethasone
severe
dexamethasone
IV MgSO4
maintenance dose
IV infusion 1g per hour
monitoring
deep tendon reflex, respiratory rate/SaO2, urine output
loading dose
IV infusion 4g over 20 minutes
IV labetalol
delivery
emergency Caesarean section
oliguria
renal
post-renal
pre-renal
(v pulmonary edema: IV furosemide) (x pulmonary edema OTHER CAUSE: IV fluid)
eclampsia
resuscitaiton
seizure
hypertension
delivery after stabilization