¥IE - dr-lhaveennia-obgyn-illustration.yolasite.com · IM MgSO4 : 5gm in each buttocks (total...
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INDICATION ① Treat eclamptic seizure ② prevent recurrence of seizure ③ prevent primary seizure in women with fulminating eclampsia PROTOCOL LOADING DOSE IM MgSO4 : 5gm in each buttocks (total 10gm) IV MgSO4 : 4gm (8ml) + 12ml NS 0.9% In 20cc syringe MAINTENANCE DOSE 5gm (10ml) + 40ml Dextrose 5% In 50cc syringe Run 10ml/hr =1g/hr Give slow bolus over 15mins MONITOR Blood pressure Respiratory Rate Urine Output Presences of Deep Tendon Reflex ✓ ✓ ✓ ✓ SIGNS OF TOXICITY Absent of deep tendon reflex Respiratory rate <12/min Urine output <30cc/hr Hypotension ANTIDOTE FOR MgSO4 Toxicity : 10ml IV Calcium Gluconate 10% over 10mins Continuous infusion 24hours after delivery / 24hrs after last convulsion DR LHAVEENNIA OBGYN ILLUSTRATION I ¥ t E EEN s ¥IE
Transcript of ¥IE - dr-lhaveennia-obgyn-illustration.yolasite.com · IM MgSO4 : 5gm in each buttocks (total...
INDICATION① Treat eclamptic seizure② prevent recurrence of seizure ③ prevent primary seizure in women with fulminating eclampsia
PROTOCOL
LOADING DOSE
IM MgSO4 : 5gm in each buttocks (total 10gm)
IV MgSO4 : 4gm (8ml) + 12ml NS 0.9%
In 20cc syringe
MAINTENANCE DOSE 5gm (10ml) + 40ml Dextrose 5%
In 50cc syringe
Run 10ml/hr =1g/hr
Give slow bolus over 15mins
MONITORBlood pressureRespiratory RateUrine OutputPresences of Deep Tendon Reflex
✓
✓
✓
✓
SIGNS OF TOXICITYAbsent of deep tendon reflexRespiratory rate <12/minUrine output <30cc/hrHypotension
ANTIDOTE FOR MgSO4 Toxicity : 10ml IV Calcium Gluconate 10% over 10mins
Continuous infusion 24hours after delivery / 24hrs after last convulsion
DR LHAVEENNIA OBGYN ILLUSTRATION
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¥t E
EEN s
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