Antepartum Management: For eclampsia
Antepartum Management: For eclampsia:
- Protect the client from injury during seizures and maintain a patent airway
- Administer oxygen via face mask at 10 L/min
- Administer magnesium sulfate intravenously to stop seizures and lower blood pressure
- Monitor for magnesium toxicity (e.g., loss of reflexes, reduced urine output, respiratory depression, cardiac arrhythmias) and have calcium gluconate available as an antidote
- Administer antihypertensive therapy (e.g., hydralazine, labetalol) to lower blood pressure to <160/110 mmHg
- Administer corticosteroids (e.g., betamethasone) if gestational age is <34 weeks to accelerate fetal lung maturity
- Plan for delivery as soon as possible after maternal stabilization and fetal maturity assessment
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