Eclampsia is a topic covered in the Pocket ICU Management.

To view the entire topic, please or purchase a subscription.

Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:

Anesthesia Central

-- The first section of this topic is shown below --

First Things First

  • Eclampsia is defined by new-onset grand mal seizures in a woman with preeclampsia.
  • Stop the seizure: magnesium sulfate 6 gm IV bolus is preferred treatment; other choices include benzodiazepines or barbiturates
  • Evaluate airway, breathing, circulation.
  • Preeclampsia is defined by
    • Onset after 20 weeks’ gestation
    • Hypertension: >140 systolic or 90 diastolic
    • Proteinuria: 1+ on dipstick or 300 mg/24 hours
  • Severe preeclampsia (presence of any of the following)
    • Hypertension: >160 systolic or 110 diastolic
    • Proteinuria: 3+ on dipstick or >5 gm/24 hours
    • Oliguria: <500 cc/24 hours
    • Cerebral or visual disturbances
    • Pulmonary edema
    • Epigastric or RUQ pain
    • Elevated liver enzymes
    • Thrombocytopenia
    • Fetal growth restriction
    • Oligohydramnios
  • Evaluate and/or monitor fetus.

-- To view the remaining sections of this topic, please or purchase a subscription --

Last updated: April 16, 2010

Citation

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Eclampsia ID - 534105 Y1 - 2010/04/16/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534105/all/Eclampsia PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -