Eclampsia definition causes sign and symptom diagnosis treatment ~ Medical diseases and trems ,symptoms causes TREATMENT

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Eclampsia definition causes sign and symptom diagnosis treatment

                                               ECLAMPSIA



  It Define as Pre eclampsia + convulsion , acute in nature { sudden severe }, also refer as ''sudden flash of lighting''.

 Eclampsia present in intrapartum , antepartum , and postpartum. During postpartum risk of convulsion present up to 48 hours.

ECLAMPSIA CONVULSION -

   1. Pre monitoring -

                        * Stage of invasion / Aura .

                        * 30 second stage.

                        * It involve changes in three area 

                                    - Loss of consciousness 

                                    - Eye ball fixation 

                                    - Muscles twisting start.

  2. Tonic

             * 15 to 20 second.

             * It is a stage of contraction characterised by 

                    - Total body spasm

                    - Fist formation 

                    - Respiration cessation 

                    - Cyanosis appear 

                    - Titanic contraction 

                    - Opisthotonos position 

                    - Tongue between teeth 

 3. Clonic 

              * 1 to 4 minute stage

              * It is actual stage of convulsion .

              *Maximum duration stage .

              * characterised by rapid body movement .

              * Respiration start .

              * cyanosis disappear .

              * Tongue biting , frothy saliva .

  4. Coma / Deep sleep

                 For short duration .

Priority Intervention -

     * Call for help is first priority.

     * Injury prevention / bed side railing .

    * Maintain open air way .

    * oxygen administration .

    * Suctioning if require .

    * Magnesium sulfate  administration .

General Intervention 

   * Fluid of choice RL.

           { amount of urine + 1 liter / maximum amount 2 liter}

    * Cocktail method - it is combination of 2 or more drugs .

    * Magnesium sulfate is the drug of choice in eclampsia .

   * It is a muscles relaxant work against calcium.

   * General effect following - Vasodilator , Anti convulsant , Flushing of face , Hypotension 

   * The most important assessment during mgso4 therapy is Respiratory rate.

   * First symptom of MgSo4 toxicity is loss of patellar reflex.

   * Antidot of MgSo4 is calcium gluconate .

DOSE 

                           INTRAMUSCULAR                                                INTRAVAINOUS

                                        🠟                                                                                  🠟

 Loading dose-    4 gm Iv  + 10gm{5gm+5gm}IM=14gm       4 to 6 gm/ hour

Maintenance dose- 5 gm /4hourly                                             1 to 2 gm/hour

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