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Eclampsia is a topic covered in the Pocket ICU Management.

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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.

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Last updated: April 16, 2010


"Eclampsia." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534105/all/Eclampsia.
Eclampsia. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534105/all/Eclampsia. Accessed April 23, 2019.
Eclampsia. (2010). In Pocket ICU Management. Available from https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534105/all/Eclampsia
Eclampsia [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2019 April 23]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534105/all/Eclampsia.
* 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 -