A lady with thirty weeks pregnancy is having convulsions. Blood pressure is high and tachycardia is noticed. Already, Magnesium sulfate has been given but there's no improvement. What would you suggest? 1. Emergency Caesarean 2. Injection phenytoin 3. Injection diazepam 4.
Magnesium sulfate infusion. Answer. Magnesium sulfate infusion. Phenytoin and diazepam have no role in the treatment of eclampsia. Treatment is definitely magnesium sulfate. Initial dose 4 gm over ten minutes. Followed by infusion of magnesium sulfate at one gram per hour. If there are seizures again, magnesium sulfate bolus of 2 grams.
