Oh, the pressure

 

This SAQ is worth 17 marks

A 27 year old usually fit and well woman at 31/40 gestation presents to the emergency department having had two witnessed seizures.

Her initial observations are:

GCS 13/15 E3, V4, M6
Temperature 37.8 C
HR 120 beats/min
BP 190/122 mmHg
O2 Saturation 99 % on 10L/min of oxygen via Hudson mask

Question 2.
What is the definition and/or diagnostic criteria for eclampsia and pre-eclampsia? (3 marks)

Eclampsia  
Pre-eclampsia New onset hypertension:
Pre-existing hypertension:



Question 2.
What are two (2) methods to treat/prevent further eclamptic seizures? Give brief details for one of your methods.
(3 marks)


1. _______________________________________________________________________________

2. _______________________________________________________________________________



Question 2.
List two (2) medications and the dosage that may be used to control hypertension, and the treatment endpoint.
(5 marks)


1. _______________________________________________________________________________

2. _______________________________________________________________________________

Treatment endpoint:

___________________________________________________________________________



Question 1.
Complete this table. (6 marks)

   Foetal complications of eclampsia
[three (3) examples]

Maternal complications of eclampsia

[three (3) examples]

1    
2    
3    



 

This SAQ is worth 17 marks

A 27 year old usually fit and well woman at 31/40 gestation presents to the emergency department having had two witnessed seizures.

Her initial observations are:

GCS 13/15 E3, V4, M6
Temperature 37.8 C
HR 120 beats/min
BP 190/122 mmHg
O2 Saturation 99 % on 10L/min of oxygen via Hudson mask

Question 2.
What is the definition and/or diagnostic criteria for eclampsia and pre-eclampsia? (3 marks)

Examiner Comments: Poor answer features included:

  • Not providing very specific information when asked to do so
  • Blank or incomplete answer boxes
  • Writing past, outside or over the provided lines or boxes. Examiners are instructed to ignore these parts of answers

 



Question 2.
What are two (2) methods to treat/prevent further eclamptic seizures? Give brief details for one of your methods.
(3 marks)



Question 2.
List two (2) medications and the dosage that may be used to control hypertension, and the treatment endpoint.
(5 marks)



Question 1.
Complete this table. (6 marks)




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