Pregnancy-induced hypertension (PIH) is a form of high blood pressure in pregnancy. It occurs in about 7 to 10 percent of all pregnancies. Another type of high blood pressure is chronic hypertension - high blood pressure that is present before pregnancy begins. A potentially dangerous pregnancy complication characterised by high blood pressure. Pre-eclampsia usually begins after 20 weeks of pregnancy in a woman whose blood pressure had been normal. It can lead to serious, even fatal, complications for both mother and baby. There may be no symptoms. High blood pressure and protein in the urine are key features. There may also be swelling in the legs and water retention, but this can be hard to distinguish from normal pregnancy. Pre-eclampsia can often be managed with oral or IV medication until the baby is sufficiently mature to be delivered. This often requires weighing the risks of early delivery versus the risks of continued pre-eclampsia symptoms. VIDEO LINK:- https://youtu.be/Hg0ih6ff104 follow me on my YouTube channel :- medic o mania

1. SEVERE PRE ECLAMPSIA
AND ECLAMPSIA
Magnesium therapy
Presented by :- Ms. Neha Malik

2. • Uncontrolled Severe Pre
Eclampsia
Delivery within 24 hours
• Eclampsia
Delivery within 12 hours

3. If preeclampsia left untreated, then
complications may develop.

4. TREATMENT OF PRE ECLAPMSIA
• ANTI HYPERTENSIVE
• Keep the client in dark and silent room
• Corticosteroids for lung maturation of baby in preterm
• Magnesium sulfate to prevent or control of fits

5. DOSAGE OF MGSO4
(MAGNISIUM SULPHATE)
LOADING DOSE =14Gram mgso4
10Gram I/M AND 4Gram I/V
MAINTAINANCE DOSE=5gram mgso4 every 4 hourly

6. AVAILANILITY OF MGSO4
IF 2ML
AMPIULE THEN
IT CONTAINS
0.5gram OF
Mgso4
IF 2ML
AMPIULE THEN
IT CONTAINS
1gram OF
Mgso4

7. 2ml +2ml+ 2ml+ 2ml+2ml= 10ml(5gram)
Right
buttock
Left
buttock
INTRA MUSCULAR DOSE

8. ml
Magnesium
Sulphate
ml
Normal Saline
ml
INTRA VENOUS(I/V) DOSE
(4gram Mgso4)

10. MAINTENANCE DOSE OG MGSO4
(MAGNISIUM SULPHATE)
 EVERY 4 HOURLY
 ONLY INTRA MUSCULAR DOSE TO BE GIVEN
 5ML IN EACH BUTTOCK
4 P.M. 8P.M

11. COMMON SIDE EFFECTS OF MAGNISIUM
THERAPY
•nausea, diarrhea, or vomiting
•FLUSHING
•breathing problems
•confusion or fogginess
•DECREASE LABOUR PAIN Sometimes, it’s also used to
prolong pregnancy for up to two days. This allows time for
corticosteroid drugs to improve the baby’s lung function.

12. RESPIRATION RATE
SHOULD BE MORE
>12BREATHS PER
MIN
URINE OUTPUT
SHOULD BE
100ML IN 4 HOURS
OR 30ML/HOUR
DTR
REFLEX SHOULD BE
PRESENT

13. IF ANY ONE OF THE THESE 3 ARE
NOT COMMING IN NORMAL
RANGE THAN HOLD THE NEXT
MAINTAINACE DOSE FOR 1 HOUR
AFTER 1 HOUR AGAIN DO THE RE
ASSEEMENT
IF NORMAL=ADMINSTER THE
DOSE
STILL NOT NORMAL=WAIT FOR
ANOTHER 1 HOUR

14. Magnesium toxicity
The signs of Magnesium Sulfate toxicity include:
a) Absent DTRs.
b) Respirations less than 12/minute, shortness of breath, or
respiratory arrest.
Then we need to administer calcium gluconate to the client
CALCIUM GLUCONATE IS ANTIDOT OF MAGNISIUM SULPHATE
10 = PERCENT %
10 =ML
10 =Minute

15. If the patient had seizures in between the two
maintenance dose in that case additional 2mg of
magnesium can be administered to the patient
intravenously
last dose 4 P.M
next dose is at 8pm --------- but at 5pm patient had an episode of seizure
2ml + 2ml + 6ml = 10ml
Administer
slowly

16. When to stop magnesium therapy
 CONTINUE TILL AFTER 24 HOUR OF DELIVERY
OR CONTINUE ILL AFTER 24 HOURS OF ECLAMPSIA EPISODE
2p.m.
11p.m
2p.m.
10p.m
Magso4 therapy will stop at
10 p.m. of next day
Magso4 therapy will stop
at 10 p.m. of next day