Lesson 1Lab and imaging workup: baseline CBC, platelets, LFTs, creatinine, coagulation panel, urinalysis, and when to use CT/MRI in seizure workupOutlines key lab and image checks in eclampsia, including base blood count, platelets, liver tests, kidney function, clotting panel, urine check, and when to use CT or MRI to rule out other brain issues in Gambian labs.
Base blood count, platelets, and blood smearLiver, kidney, and clotting test setsUrine check and protein measure choicesWhen to order brain CT vs MRIReading odd results for handlingLesson 2Management of complications: HELLP syndrome, DIC, pulmonary edema, renal impairment — monitoring and interventionsLooks at spotting and handling HELLP, clotting issues, lung water, and kidney problems in eclampsia, including diagnosis signs, watch plans, med and support steps, and ICU move levels in Gambia.
Diagnosis signs and stages of HELLPSpotting and treating pregnancy clotting issuesCheck and handle lung waterKidney problems: labs, fluids, and machine cleanICU send signs and team careLesson 3Recognition: red flags (severe headache, visual symptoms, hyperreflexia, proteinuria) and seizure characterizationExplains early spotting of pre-eclampsia and coming eclampsia, highlighting main signs, blood pressure levels, nerve checks, protein in urine, and fit types to guide urgent care step-up in Gambian clinics.
Blood pressure levels and measure wayHead pain, sight changes, and nerve signsOver reflex and shake check stepsProtein in urine tests and other marksFit stages and after-fit checkLesson 4Anesthesia considerations for labor or operative delivery in eclamptic patientsReviews sleep med options and risks for labour and surgery birth in eclampsia patients, including spine vs full sleep, platelet levels, airway worries, med mixes, and during-surgery blood pressure control in Gambia.
Before-sleep check and betteringSpine sleep: reasons and limitsFull sleep and hard airway risksSleep med picks and mixesDuring-surgery blood pressure handleLesson 5Acute antihypertensive therapy: agents (labetalol, hydralazine, nifedipine), IV dosing ranges, titration, and contraindicationsReviews first-choice IV and mouth blood pressure meds for bad high pressure in pregnancy, including dose ranges, step-up ways, no-go's, watching, and link with fit prevention and baby check in Gambian practice.
IV labetalol dose and step-up planIV hydralazine dose, start, and re-doseMouth nifedipine for bad high pressureNo-go's and med mix trapsBlood pressure goals and watch timesLesson 6Magnesium sulfate: pharmacology, bolus and infusion dosing regimens, monitoring for toxicity, and reversal with calcium gluconateDetails magnesium sulfate workings, load and steady dose plans for fit prevention and treatment, good levels, bedside poison watch, high-risk spots, and undo with calcium gluconate and support care in Gambia.
Action way and good rangeLoad dose and steady flow plansClinical and lab poison watchRisks for magnesium build-upCalcium gluconate undo planLesson 7Obstetric decision-making post-stabilisation: indications and timing for delivery, induction vs cesarean at 37+ weeksHandles obstetric choices after steadying, including reasons and times for birth, birth way picks, start labour methods, cesarean reasons, and link with mother and baby status in term pregnancies in Gambia.
Steady goals before birth thoughtReasons for now vs later birthStart labour methods in high pressure patientsWhen to pick cesarean over normal birthBalancing mother and baby risks at full termLesson 8Postpartum care, monitoring for recurrent seizures, magnesium maintenance dosing and duration, neonatal considerationsFocuses on after-birth watching after eclampsia, including blood pressure and nerve check, magnesium keep and stop, handling repeat fits, and baby check for med exposure and issues in Gambian care.
After-birth blood pressure and sign watchTime and change of magnesium flowCheck and treat repeat fitsAfter-birth advice and follow planBaby check after mother magnesiumLesson 9Immediate seizure management: airway, oxygen, positioning, aspiration prevention, and seizure termination prioritiesCovers quick bedside actions in eclampsia fit, focusing on airway guard, mother place, oxygen give, choke stop, safe spot, fit end, and fast move to main treatment in Gambian delivery rooms.
Airway open, suck, and help pickLeft side place and womb shiftOxygen give ways and watchChoke stop and stomach guardFit end order and timeLesson 10Pathophysiology of pre-eclampsia and eclampsia and maternal/fetal implications at termDescribes known ways of pre-eclampsia and eclampsia, including odd womb bed, vessel lining harm, mother organ hurt, and results for mother and baby at full term in Gambian pregnancies.
Odd womb bed and twist vessel changesVessel lining harm and tight vessel chainMulti-organ mother hurt waysBaby growth limit and low oxygen risksLong-term mother heart after-effects