The patient if at home or in peripheral health centres, should be shifted urgently to the referral hospital. The aim of immediate management in the hospital are :
General management -
- The patient should be placed in a railed cot in an isolated room, protected from
noxious stimuli which might provoke further fits.
- Detailed history is to be taken from the relatives, relevant to the diagnosis of
eclampsia, duration of pregnancy and number of fits.
- When the patient is properly stabilized, general abdominal and vaginal examination
are done.
- If the patient is unconscious, catheter is introduced and urine is tested for protein.
- Pulse, respiration and BP should be recorded half hourly.
- Fluid balance- Ringer's solution is started.
Total fluids = Previously 24 hours urinary output + 1000 ml (insensible loss through
lungs and skin).
- Clear and maintain the airway.
- Prevent injuries.
- Prevent hypoxia.
- Arrest convulsions.
General management -
- The patient should be placed in a railed cot in an isolated room, protected from
noxious stimuli which might provoke further fits.
- Detailed history is to be taken from the relatives, relevant to the diagnosis of
eclampsia, duration of pregnancy and number of fits.
- When the patient is properly stabilized, general abdominal and vaginal examination
are done.
- If the patient is unconscious, catheter is introduced and urine is tested for protein.
- Pulse, respiration and BP should be recorded half hourly.
- Fluid balance- Ringer's solution is started.
Total fluids = Previously 24 hours urinary output + 1000 ml (insensible loss through
lungs and skin).
