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    Defination:: Pre-Eclampsia With Convulsion

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    sakib-kabir-1877
    Pre-eclampsia with convulsions can occur antepartum in 50% of cases, intrapartum in 30% of cases, and postpartum in 20% of cases. Management of eclampsia involves general care of the patient, management of hypertension through drugs like hydralazine and nifedipine, prevention of additional convulsions using diazepam or magnesium sulfate therapy, and obstetrical management such as termination of pregnancy through ARM/oxytocin, cesarean section, or assisted vaginal delivery. Complications of eclampsia include injuries, aspiration pneumonia, cerebral hemorrhage, acute left ventricular failure, pulmonary edema, renal failure, hyperpy

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    Defination:: Pre-Eclampsia With Convulsion

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    sakib-kabir-1877
    588 views11 pages
    Pre-eclampsia with convulsions can occur antepartum in 50% of cases, intrapartum in 30% of cases, and postpartum in 20% of cases. Management of eclampsia involves general care of the patient, management of hypertension through drugs like hydralazine and nifedipine, prevention of additional convulsions using diazepam or magnesium sulfate therapy, and obstetrical management such as termination of pregnancy through ARM/oxytocin, cesarean section, or assisted vaginal delivery. Complications of eclampsia include injuries, aspiration pneumonia, cerebral hemorrhage, acute left ventricular failure, pulmonary edema, renal failure, hyperpy

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    all about eclampsia

    Original Title

    ECLAMPSIA

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    Pre-eclampsia with convulsions can occur antepartum in 50% of cases, intrapartum in 30% of cases, and postpartum in 20% of cases. Management of eclampsia involves general care of the patient, management of hypertension through drugs like hydralazine and nifedipine, prevention of additional convulsions using diazepam or magnesium sulfate therapy, and obstetrical management such as termination of pregnancy through ARM/oxytocin, cesarean section, or assisted vaginal delivery. Complications of eclampsia include injuries, aspiration pneumonia, cerebral hemorrhage, acute left ventricular failure, pulmonary edema, renal failure, hyperpy

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    588 views11 pages

    Defination:: Pre-Eclampsia With Convulsion

    Uploaded by

    sakib-kabir-1877
    Pre-eclampsia with convulsions can occur antepartum in 50% of cases, intrapartum in 30% of cases, and postpartum in 20% of cases. Management of eclampsia involves general care of the patient, management of hypertension through drugs like hydralazine and nifedipine, prevention of additional convulsions using diazepam or magnesium sulfate therapy, and obstetrical management such as termination of pregnancy through ARM/oxytocin, cesarean section, or assisted vaginal delivery. Complications of eclampsia include injuries, aspiration pneumonia, cerebral hemorrhage, acute left ventricular failure, pulmonary edema, renal failure, hyperpy

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    DEFINATION: PRE-ECLAMPSIA WITH CONVULSION TYPES: 1. ANTEPARTUM 50% 2. INTRAPARTUM 30% 3.

    POST-PARTUM 20%

    Eclampsia
    Clinical Features:

    cont

    Pre- monitory stage Tonic stage Clonic stage Stage of Coma.

    Eclampsia
    Complications: 1. Injuries 2. Aspiration pneumonia 3. Cerebral hemorrhage 4. Acute Left Ventricular Failure 5. Pulmonary Edema 6. Renal Failure 7. Hyperpyrexia 8. Post-partum Shock 9. Psychosis

    Management of Eclampsia
    1. 2. 3. 4. 5. General Management Management of Hypertension Prevention of convulsion Obstetrical Management Management of Complications

    General Nursing Care:


    Placed in a eclampsia room in lateral position & postural change 2 hourly. Place mouth gag to prevent injury. Oxygen inhalation and Oropharyngeal suction. Nutrition with 10% D/A + previous days output. Inject able Antibiotics Observe Pulse, B.P. Temp. Resp. hourly.

    Hypertension Management
    Hydralazine 5 mg slowly I.V. in 15 to 20 min. Maximum effect at 60 min. Duration 4-6 hours. Nifedifine sub-lingually Nitroprusside/Diazoxide in Inject.

    Prevention of convulsion
    1. Diazepum Therapy 2. Lytic Cocktail Therapy 3. Mag. Sulph. Therapy.

    Diazepum Therapy:
    20 mg. I.V. state, 60 mg. in 500 ml. D/A @ 30 Drops/min.

    Magnesium Sulphate Therapy:


    4 gm i.v. slowly then 2gm. In each buttock. Repeat the dose 2gm. 4 hourly & cont. up to 24 hours after last convulsion. Observe Resp. Knee jerk, Urine output

    Obstetrical Management:
    Termination
    ARM +Oxytocin in drip if NVD is possible. C/S. Unfavorable cervix Prolong labor Malposition- Presentation CPD.

    During NVD Forceps/ Ventose to shorten 2nd stage Withheld prophylactic ergometrine.

    Eclampsia
    PROGNOSIS:

    cont..

    Maternal Mortality 16% Perinatal Mortality 50- 60%

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