How do you get eclampsia?
The exact cause of preeclampsia is unknown. Experts think it’s caused by problems with the blood vessels that connect the placenta, the organ that passes oxygen from mom to baby, to the uterus. During the early stages of pregnancy, new blood vessels begin to form between the placenta and uterine wall.
What is the protocol for magnesium sulphate?
Magnesium sulphate is recommended as the first-line medication for prophylaxis and treatment of eclampsia. The loading dose is 4 g IV over 20 to 30 min, followed by a maintenance dose of 1 g/h by continuous infusion for 24 h or until 24 h after delivery, whichever is later.
What is magnesium sulfate toxicity?
Symptoms of magnesium sulfate toxicity are seen with the following maternal serum concentrations: loss of deep tendon reflexes (9.6-12 mg/dL) (> 7 mEq/L), respiratory depression (12-18 mg/dL) (> 10 mEq/L), and cardiac arrest (24-30mg/dL) (> 25mEq/L).
What does pre-eclampsia pain feel like?
Abdominal pain is a common symptom of preeclampsia. It is classically felt in the upper-right abdomen, below the ribs – roughly where the liver is located, but can often also be felt below the breastbone, a region known as the epigastrium, and may at times also radiate towards the right hand side of the back.
What is the most common complication of eclampsia?
The most significant maternal complication of eclampsia is permanent CNS damage secondary to recurrent seizures or intracranial bleeding. The maternal mortality rate is 8-36% in these cases.
What happens if eclampsia is not treated?
In the developed world, eclampsia is rare and usually treatable if appropriate intervention is promptly sought. Left untreated, eclamptic seizures can result in coma, brain damage, and possibly maternal or infant death.
What should I check before giving magnesium sulfate?
Double checks. An independent double check of the drug, concentration, infusion rate, pump settings, line attachment, and patient should be required before IV magnesium sulfate is administered. Point-of-care bar-code systems can also be used to verify the drug, strength, and patient.
Does magnesium hurt through IV?
Results: Pain during i.v. pretreatment with magnesium was 31% as compared to 2% for both the lidocaine and control groups (P < 0.05). Seventy-six percent of patients in the control group had pain during i.v. propofol as compared to 32% and 42% in the magnesium and the lidocaine groups respectively (P < 0.05).