Treatment of eclampsia

Treatment of eclampsia should begin immediately - on the site of convulsive seizure. Transportation of patients with convulsive readiness can be performed only after a neuroleptic reaction previously obtained in the patient by intravenous administration of diazepam (10 mg), diprazine (25 mg), corglycon (1 ml of 006% solution in 20 ml 40% glucose), magnesium sulfate (20 ml 25 % Solution intramuscularly). All manipulations and research should be conducted under the cover of narcotics (fluorotane, nitrous oxide with oxygen in a ratio of 2: 1 hexenal, sodium thiopental).

In the department, the patient is placed in a separate darkened room or in the intensive care unit. The patient is constantly supervised. Mandatory is the mobilization of the main veins, the catheterization of the urinary bladder to account for diuresis, and if necessary - aspiration of the contents of the stomach with a probe to prevent regurgitation.

With the development of seizures:

1. The patient is laid on a flat surface, avoiding damage and returning her head to the side. Holding the woman, quickly release the airways, gently opening the mouth, using a spatula and aspirate the contents of the upper respiratory tract.

2. When recovering spontaneous breathing after an attack, oxygen is supplied. With prolonged apnea immediately begin auxiliary ventilation.

3. With the cessation of cardiac activity in parallel with TTTVL perform closed cardiac massage and all methods of cardiovascular resuscitation.

4. To stop the seizures, use magnesium sulfate (20ml 25% solution intravenously), which has an anticonvulsant and sedative effect, also has a diuretic and hypotensive effect. In addition to magnesium sulphate, a sibazone of 002 g is used, with a second injection of 001 g after 10 minutes. In a complex of anticonvulsant therapy, neuroleptoanalgesia (droperidol 0.1 to 0.3 g and fentanyl) can be used. Barbiturates are used for medical anesthesia in a dose of 0.2-0.3 g as the last remedy for stopping eclampsia before the administration of muscle relaxants. When cerebral edema appears and persistent increase in intracranial pressure, lumbar puncture, craniocerebral hypothermia is indicated. Complex medicamentous treatment is carried out within 3-6 hours, as with nephropathy of III degree of severity, in order to stabilize the condition of the pregnant woman and prepare for urgent delivery.