MANAGEMENT OF ECLAMPSIA: SUBSEQUENT MANAGEMENT

REQUIREMENTS #

1. Vital signs tray
2. Delivery tray
3. Induction tray
4. Oxytocin
5. Anticonvulsant e.g. Magnesium Sulphate
6. Intravenous line tray
7. IV Fluids e. g. Normal Saline or Ringer’s Lactate
8. Urethral Catheter and Urine Bag
9. Foetal monitor (manual /electronic)
10. Intake and Output chart
11. Oxygen Apparatus
12. Suction Apparatus
13. Perineal Pad
14. Theatre Gown and Cap
15. Consent Form
16. Patella Hammer
17. Urine Dipsticks
18. Blood and Urine sample bottles
19. Maternal and Child Health Record Book (Manual/Electronic)

STEPS #

1. Monitor vital signs and reflexes every 4 hourly until client is stable, twice daily until discharge
2. Administer maintenance dose of anticonvulsants every 4 hourly for 24 hours after delivery or the last convulsion, whichever occurs last
3. Continue antihypertensive therapy as long as diastolic pressure is 110 mmHg
4. Continue monitor client for signs of toxicity
5. Monitor accurate fluid intake and output
6. Arrange for transfer to a higher level if client’s oliguria persist for 48 hours after delivery, coagulation failure and persistent coma lasting more than 24 hours after convulsion
7. Communicate progress of management to client and family
8. Record and report all information in the Maternal and Child Health Book (Manual or Electronic)