Management

General Management

  • Shout for help
  • Position the patient in eclamptic position
  • Simultaneous assessment & resuscitation:
    • Assess airway, breathing & circulation
    • Oxygen inhalation
    • IV fluid
    • Catheterization to monitor urine output
  • Protect the patient from other injuries
  • Nutritional support
  • Prophylactic antibiotic (ceftriaxone 1gm IV bd)
  • Monitoring of fetal and maternal condition
  • Send blood for investigations (CBC, S. electrolytes, S. creatinine, ALT, S. bilirubin, etc.)

Control of Convulsion

  • Drug of choice is MgSO₄
  • If contraindicated or not available, give diazepam

dose of magnesium sulfate

Control of BP

  • IV labetalol 10 mg
  • If not improved within 10 minutes -> double the dose up to 80mg

Treatment of Complications

(Details to be added)

Obstetric Management

  • Deliver within 12 hours