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Eclampsia
- 1. Gestational Hypertension / Maternal Seizure Donna Adelsperger, M.Ed., RN Alyssa Graham, BSN, RNC-OB Sandy Warner, MSN, RNC-OB
- 19. Management of Eclampsia Assess mother and fetus Delivery method depends on maternal, fetal, & obstetric conditions Stabilize & deliver (ACOG, 2002) Administer labetalol or hydralazine Give other antihypertensive medications per MD Control hypertension Protect mother Protect airway Activate multidisciplinary team Administer Magnesium Sulfate Control seizures MANAGEMENT GOAL
Notas del editor
- These categories develop during pregnancy. Multisystem syndrome.
- These two are related to preexisting conditions. Primary pathology is elevated B/P
- A prior poor outcome from pregnancy may have been undiagnosed preeclampsia. If the race of the father is different than the mother
- There are many theories of cause of gestational hypertension.
- Edema not as significant below waist because it is normal in pregnancy. Edema above the waist is more significant due to the endothelial damage in the vasculature and leaking of fluid into extravascular space.
- -Most commonly reported after 20 weeks gestation and within the first 48 hours postpartum. Though, seizures have been reported before 20 weeks and after 48 hours delivery. -Primips and multiple gestation have an increased incidence than the general population . (Sibai, 2007)
- Mack truck, with bolus, anti-emetic to prevent emesis