What is the appropriate management of seizures complicating hypeension during pregnancy?
The appropriate management of seizures complicating hypeension during pregnancy(Eclampsia) is Pritchard regimen. Pritchard regimen I.M. & I.V. regime This is the most preferred and the 'method of choice' Loading dose-Sta with a loading dose of 14g in which 4g given as intravenous and 10g given as intramuscular Maintenance dose - Maintain 5 gm 4 hourly till 24 hours pass after delivery or 24 hours pass after the last convulsion Whichever is later. Meanwhile monitor the patient for the following prior to giving the next dose Respiratory rate: >14/min, Output >100ml in last 4 hours Knee jerks are present
MgSo4 as I.V or I.M as pritchards regime
Pethidine, promethazine, chlorpromazine.as 'Lytic cocktail'
Intravenous Hydrallazine
Lean's (Benzodiazepine) regime
Pregnancy induced Hypeension