SAQ 919 – O+G – postpartum seizure and eclampsia management

A 40-year-old woman who is day 3 postpartum is brought in after increasing confusion and agitation at home. In the ambulance she had a generalised tonic-clonic seizure that stopped after midazolam 5 mg IM.

When you arrive she is in the resuscitation room with a partly obstructed airway, RR 40, SpO2 95%, HR 130, BP 180/100, and reduced level of consciousness with GCS 9.

Apart from eclampsia, list causes of seizure you would consider in this patient.

(Marked out of 4.0)

/ 4

List three risk factors for pre-eclampsia/eclampsia.

(Marked out of 3.0)

/ 3

What examination features would increase your suspicion that the seizure is eclamptic?

(Marked out of 3.0)

/ 3

Outline your initial management in each category below, including drugs, doses and route where appropriate.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Category</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Management</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">General management and resuscitation</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Pharmacotherapy of eclampsia/pre-eclampsia</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 6

Total Score: 0 / 16

Percentage: 0%