What is the treatment for eclampsia?

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Multiple Choice

What is the treatment for eclampsia?

Explanation:
Seizure control is the immediate priority in eclampsia, and magnesium sulfate is the first-line anticonvulsant. It works by calming neuronal activity and reducing the likelihood of recurrent seizures, which is why administering a magnesium sulfate bolus rapidly is the best choice. A typical approach is a 4 g IV bolus given in normal saline to reach therapeutic levels quickly, followed by a maintenance infusion (commonly 1–2 g per hour) and careful monitoring. Monitor reflexes, breathing, urine output, and magnesium levels to watch for toxicity; treat toxicity with calcium gluconate if it occurs. While blood pressure control and delivery are also important, they do not replace the need for seizure prevention and treatment provided by magnesium sulfate.

Seizure control is the immediate priority in eclampsia, and magnesium sulfate is the first-line anticonvulsant. It works by calming neuronal activity and reducing the likelihood of recurrent seizures, which is why administering a magnesium sulfate bolus rapidly is the best choice. A typical approach is a 4 g IV bolus given in normal saline to reach therapeutic levels quickly, followed by a maintenance infusion (commonly 1–2 g per hour) and careful monitoring. Monitor reflexes, breathing, urine output, and magnesium levels to watch for toxicity; treat toxicity with calcium gluconate if it occurs. While blood pressure control and delivery are also important, they do not replace the need for seizure prevention and treatment provided by magnesium sulfate.

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