SAQ 962 – O+G – postpartum seizure and eclampsia management

A 40-year-old woman is brought in after increasing confusion and agitation at home this morning.

She is day 3 after normal vaginal delivery of a healthy baby at another hospital, but her antenatal history is unknown. Ambulance reports a generalised tonic-clonic seizure that stopped with 5 mg IV midazolam.

Observation	Value
Pulse	130/min
BP	180/100 mmHg
RR	40/min
SaO2	95% on 6 L Hudson mask
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 or eclampsia.

(Marked out of 3.0)

/ 3

What examination features would increase your suspicion this is eclampsia?

(Marked out of 3.0)

/ 3

Outline your initial management in the categories below, including drugs, doses and routes.

(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%