Should mgso4 be used in cases of eclampsia but having low blood pressure
Eclampsia criteria needs albiminuria, no albumin then treat as epilepsy, mgso4can be used in either, but needs urgent cardiac evaluation and CT or MRI, and evaluate for epilepsy
Try to find out cause of Hypotension ( ecg, echo ) if it is not a complication of disease then think of atypical eclampsia & if then use. Also rule out other causes of convulsions.
Eclampsia is preeclampsia with convulsion...for convulsion control mgso4 used...also it has vasodilator affect dat reduses bp...if bp remains high antihypertensive drug added
MgSo4 is used in Eclampsia and high blood pressure is one cause of Eclampsia
Yes it can be used
Yes
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27 old came with history of headache since 1 week. Early papilledema in one eye. past history of seizures 3 episodes in post partum period. childhood history of head injury. Suggestions
Dr. Saumya Mittal4 Likes9 Answers - Login to View the image
Patient as primi having 34 weeks came for the first time to consult a doctor during for ANC,complaining of episodes of seizures ..she is nt taking any kind of medication her GC was stable vitals wnl here is her mri brain..plz give ur valuable opinions what shld b suggested best(patient dnt bought the film of the scan)
Dr. Chhavi Chaudhary1 Like7 Answers - Login to View the image
Preeclampsia and Eclampsia What Is Preeclampsia? Formerly called toxemia, preeclampsia is a condition that pregnant women develop. It is marked by high blood pressure in women who have previously not experienced high blood pressure before. Preeclamptic women will have a high level of protein in their urine and often also have swelling in the feet, legs, and hands. This condition usually appears late in pregnancy, generally after the 20 week mark, although it can occur earlier. If undiagnosed, preeclampsia can lead to eclampsia, a serious condition that can put you and your baby at risk, and in rare cases, cause death. Women with preeclampsia who have seizures are considered to have eclampsia. There's no way to cure preeclampsia, and that can be a scary prospect for moms-to-be. But you can help protect yourself by learning the symptoms of preeclampsia and by seeing your doctor for regular prenatal care. When preeclampsia is caught early, it's easier to manage. What Causes Preeclampsia? The exact causes of preeclampsia and eclampsia -- a result of a placenta that doesn't function properly -- are not known, although some researchers suspect poor nutrition or high body fat are possible causes. Insufficient blood flow to the uterus could be associated. Genetics plays a role, as well. Who Is at Risk for Preeclampsia? Preeclampsia is most often seen in first-time pregnancies, in pregnant teens, and in women over 40. While it is defined as occurring in women have never had high blood pressure before, other risk factors include: A history of high blood pressure prior to pregnancyA history of preeclampsiaHaving a mother or sister who had preeclampsiaA history of obesityCarrying more than one babyHistory of diabetes, kidney disease, lupus, or rheumatoid arthritis What Are the Signs and Symptoms of Preeclampsia? In addition to swelling, protein in the urine, and high blood pressure, preeclampsia symptomscan include: Rapid weight gain caused by a significant increase in bodily fluidAbdominal painSevere headachesChange in reflexesReduced urine or no urine outputDizzinessExcessive vomiting and nauseaVision changes You should seek care right away if you have: Sudden and new swelling in your face, hands, and eyes (some feet and ankleswelling is normal during pregnancy.)Blood pressure greater than 140/90.Sudden weight gain over 1 or 2 daysAbdominal pain, especially in the upper right sideSevere headachesA decrease in urineBlurry vision, flashing lights, and floaters You can also have preeclampsia and not have any symptoms. That's why it's so important to see your doctor for regular blood pressure checks and urine tests. How Can Preeclampsia Affect My Baby and Me? Preeclampsia can prevent the placenta from receiving enough blood, which can cause your baby to be born very small. It is also one of the leading causes of premature births, and the complications that can follow, including learning disabilities, epilepsy, cerebral palsy, hearing and vision problems. In moms-to-be, preeclampsia can cause rare but serious complications that include: *Stroke *Seizure *Water in the lungs *Heart failure *Reversible blindness *Bleeding from the liver *Bleeding after you've given birth Preeclampsia can also cause the placenta to suddenly separate from the uterus, which is called placental abruption. This can cause stillbirth. The only cure for preeclampsia and eclampsia is to deliver your baby. Your doctor will talk with you about when to deliver based on how far along your baby is, how well your baby is doing in your womb, and the severity of your preeclampsia. If your baby has developed enough, usually by 37 weeks or later, your doctor may want to induce labor or perform a cesarean section. This is will keep preeclampsia from getting worse. If your baby is not close to term, you and your doctor may be able to treat preeclampsia until your baby has developed enough to be safely delivered. The closer the birth is to your due date, the better for your baby. If you have mild preeclampsia - also known as preclampsia with and without severe features, your doctor may prescribe: Bed rest either at home or in the hospital; you'll be asked to rest mostly on your left side.Careful observation with a fetal heart ratemonitor and frequent ultrasoundsMedicines to lower your blood pressureBlood and urine tests Your doctor also may recommend that you stay in the hospital for closer monitoring. In the hospital you may be given: Medicine to help prevent seizures, lower your blood pressure, and prevent other problemsSteroid injections to help your baby's lungs develop more quickly Other treatments include: Magnesium can be injected into the veins to prevent eclampsia-related seizuresHydralazine or another antihypertensive drug to manage severe blood pressure elevations Monitoring fluid intake and urine output
Dr. Vasundhara Nanavaty10 Likes7 Answers - Login to View the image
RESPECTED AYUSH, HOMOEOPATHS, LETS REFIEW TODAY A BEAUTIFUL REMEDY ARTEMESIA VULGARIS –A TALL HERBACEOUS PERENNIAL PLANT COMMON RIVERSIDE WORMWOOD felon herb, chrysanthemum weed, wild wormwood, old Uncle Henry, sailor's tobacco, naughty man, old man or St. John's plant TAXONOMY- PLANTAE- EUDICOTS-ANGIOSPERM- ASTERIDES-ASTERALES-ASTERACEAE PROVINGS BY FEDRICK MILLER Clinical.- Catalepsy.- Chorea.- Convulsions.- Dysmenorrhea.- Epilepsy.- Hydrocephalus. Hysteria.- Somnambulism. Worms. MIND -Complete unconsciousness. =Hydrocephalus. Insensible for two hours. = Epilepsy. Stupor following convulsions ; child. 4. Mental powers become gradually extinct. Epilepsy. Delirium. Hydrocephalus.Hallucinations during lucid intervals ; manifests fear and horror. Gets up every night and does her daily work as a house servant, with closed eyes, lies down again and cannot remember anything next morning. =Somnambulism. Inclination to steal. –KLEPTOMANIA Sudden whining. θ Before eclampsia. Piercing shriek, turns eyes, with violent clonic spasms of all limbs. Picking of bedcovers, making a fold of skin on back of her mother’s hand, saying that it will not come off, wants a knife to cut it off. .Peevish and inclined to weep. Chorea. Very much vexed, irritable, depressed during day before an attack at night. Excitability all day before an attack at night Excitability all day before an attack at night = Epilepsy. Moroseness. = Epilepsy. Morose and tearful. =Chorea.. Epilepsy. After a sudden fright. =Epilepsy. Fright and other emotions are followed by epilepsy. Weak-minded with epileptic fits. Attacks brought on particularly by bodily exertion or by alluding to disease. = Catalepsy. Great heaviness in head on moving it. Stupor ; after convulsions. = Hydrocephalus. Insensibility after fit. = Epilepsy. Vertigo caused by colored window glass, but not by white light. Epileptic vertigo. Sharp, shooting pain through head. = Hydrocephalus. Great heaviness and pressure. = Hydrocephalus. Great heaviness in head, morning. = Nocturnal epilepsy. Hydrocephalus acutus ; second stage. Great congestion of cerebro-spinal vessels of meninges. Extreme hyperemia of medulla, spine and meninges. Heaviness of head. = Hydrocephalus. Cannot hold head up after spasms. Head drawn backward by spasmodic twitchings. Head bent backward and sideward. = Hydrocephalic spasms. Very copious sweat on occiput during recovery. = Hydrocephalus. Heaviness of head. θ Hydrocephalus. Cannot hold head up after spasms. Head drawn backward by spasmodic twitchings. Head bent backward and sideward. = Hydrocephalic spasms. Very copious sweat on occiput during recovery. = Hydrocephalus. A/F- -Fright, grief bad news. --Violent emotions, anger. -After masturbation, sexual excitement. --Blow on the head. * -Physical exertion. CONFIRMATORY -NO AURA Convulsive attacks accompanied by profuse offensive sweat garlic like odour, and seminal emission. -Chorea during daytime > night. -Convulsions worse on becoming cool after exertion, worse from photic stimulation. -Typical ABSENCE episodes. -Convulsion of right side, paralysis, in newborns and girls at puberty. -Tonic-clonic convulsions with biting of the tongue and grinding of teeth. -Petit mal -attacks frequently repeated, then followed by a long interval of rest. -After the attack, falling asleep, weakness, feeling of lethargy. -Chorea- swallowing difficult, hungry but cannot get food down. -Colored light produces dizziness. Convulsive attacks accompanied by profuse offensive sweat garlic like odour, and seminal emission. -Chorea during daytime > night. -Convulsions worse on becoming cool after exertion, worse from photic stimulation. POKEMON-SHOCK SYNDROME= 16-12-97 Japan in the serial Pokemon especially in the episode of Electric Soldier Porygon” total 685 kids were rushed to the hospitals after seeing this serial esp this episode-complaining of headache blurred vision and photosensitive seizures on viewing strobe lighting of red green blue and yellow (which was used to create a virtual explosion on-screen NOTE – this could have been avoided if Artemesia was given to all kids. *Dear Ayush , If you have this herb in AYU or any other herb depicting similar symptoms as above please write and keep ading ... REGARDS, DR. RAJAN.N.IYER
Dr. Rajan N. Iyer2 Likes6 Answers - Login to View the image
Today our doctor did LSCS primi she had convulsions but BP 130/80.She is cough since 3days.spo2 86 at the beginning. Other invstigations within normal.what could be cause for convulsions.
Dr. Raghavendra Udupa0 Like2 Answers
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