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Gynaecology & Obstetrics FMGE 2019 7263acce

A 35 years old with 36-week pregnancy comes with history of 5 convulsions at home. Diagnosis made by doctor is eclampsia. Next Management is?

A
Only Labetalol
B
Only MgSO4
C
MgSO4 + Labetalol
D
Clonidine
High-Yield Explanation
Eclampsia management: DOC: Magnesium sulphate IM +IV (Pritchard regimen) IV only (Zuspan regime) Pritchard regimen I.M. & I.V. regime This is the most preferred and the 'method of choice' Loading dose-Sta with a loading dose of 14g in which 4g given as intravenous and 10g given as intramuscular Maintenance dose - Maintain 5 gm 4 hourly till 24 hours pass after delivery or 24 hours pass after the last convulsion Whichever is later. Add IV labetalol: DOC of hypeensives emergencies in pregnancy

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