Medical and Surgical Complications in Pregnancy
What is the appropriate for seizures during pregnancy? (AIIMS Nov. 2010)
|D||Lytic cocktail regiment|
MgSO4 Most eclampsia regimens used include:
a. Control of convulsions using an intravenously administered loading dose of magnesium sulfate. This is followed either by a continuous infusion of magnesium sulfate or by an intramuscular loading dose and periodic intramuscular injections.
b. Intermittent intravenous or oral administration of an antihypertensive medication to lower blood pressure whenever the diastolic pressure is considered dangerously high. Some clinicians treat at 100 mm Hg, some at 105 mm Hg, and some at 110 mm Hg.
c. Avoidance of diuretics and limitation of intravenous fluid administration unless fluid loss is excessive. Hyperosmotic agents are avoided.
1. Sibai regimen
a. Loading dose b. 6g iv over 20 mins
c. Maintenance therapy d. 2-3g per hour
2. Zuspan regimen
a. Start with a loading dose of 4g
3. Pritchard regimen
b. Start with a loading dose of 14g in which 4g given as intravenous and 10g given as intramuscular
c. Manitain 5 gm 4 hourly till 24 hours of last delivery or 24 hours of the last convulsion