Pregnancy hypertension after week 20 is a warning; magnesium prevents and treats, delivery cures.
Eclampsia (seizure)
Magnesium — not benzodiazepines — is first line.
HELLP syndrome
Hemolysis + elevated liver enzymes + low platelets — may precede severe hypertension.
Hypertensive intracranial bleed
Systolic ≥ 160 mandates urgent pharmacologic lowering.
Placental abruption
Sudden abdominal pain + woody uterus + fetal distress.
Eclampsia also strikes postpartum up to 6 weeks — a recently delivered mother with headache and a fit = eclampsia until proven otherwise.
The magnesium-toxicity antidote: calcium gluconate ready at the bedside.
Left lateral position, calm dim environment, urgent transport to obstetric + critical care.
Seizure history, normal BP, no proteinuria.
Progressive headache and fits in the puerperium.
Documented before week 20 without severe features.
| Drug | Dose | Route | Notes |
|---|---|---|---|
| MgSO₄ (تحميل)⚠ Critical | 4 g IV over 20 min | IV | Prophylaxis and treatment |
| MgSO₄ (صيانة)⚠ Critical | 1 g/hour infusion | IV infusion | Monitor reflexes and breathing |
| Calcium gluconate | 1 g slow IV | IV | Magnesium-toxicity antidote |
Subject to clinical review and local protocol.
بنية العرض مقتبسة من Notfallguru.de بموافقة فريقه — المحتوى بانتظار مراجعتهم
This content is an educational reference and does not replace clinical judgement or local protocols.
