Lesson 1Lab an' imag'in' workup: baseline CBC, platelets, LFTs, creatinine, clottin' panel, urine check, an' when fi use CT/MRI in seizure workupOutline key lab an' imag'in' evaluation in eclampsia, includin' baseline blood an' metabolic tests, clottin' an' kidney panels, urine studies, an' reasons fi CT or MRI fi rule out other brain diagnoses.
Baseline CBC, platelets, and peripheral smearLiver, renal, and coagulation test panelsUrinalysis and protein quantification optionsWhen to order CT versus MRI of the brainInterpreting abnormal results for managementLesson 2Handlin' complications: HELLP syndrome, DIC, lung water, kidney problem — watchin' an' actionsExplore recognizin' an' handlin' a' HELLP, DIC, lung water, an' kidney problem in eclampsia, includin' diagnosis rules, watchin' plans, drug an' support actions, an' levels fi ICU move.
Diagnostic criteria and staging of HELLPRecognition and treatment of obstetric DICAssessment and management of pulmonary edemaRenal impairment: labs, fluids, and dialysisICU referral criteria and multidisciplinary careLesson 3Recognizin': red flags (bad headache, eye symptoms, over reflex, protein in urine) an' seizure describin'Explain early recognizin' a' preeclampsia an' comin' eclampsia, highlightin' key symptoms, blood pressure levels, brain signs, protein in urine check, an' seizure describin' fi guide urgent escalatin' a' care.
Blood pressure thresholds and measurement techniqueHeadache, visual changes, and neurologic signsHyperreflexia and clonus assessment stepsProteinuria testing and alternative markersSeizure phases and postictal evaluationLesson 4Anesthesia considerin's fi labor or operation delivery in eclamptic patientsReview anesthesia choices an' risks fi labor an' operation delivery in eclamptic patients, includin' spine versus general anesthesia, platelet levels, airway worries, drug mixin's, an' durin' operation blood pressure control.
Pre-anesthesia assessment and optimizationNeuraxial anesthesia: indications and limitsGeneral anesthesia and difficult airway risksAnesthetic drug choices and interactionsIntraoperative blood pressure managementLesson 5Quick blood pressure lowerin' therapy: agents (labetalol, hydralazine, nifedipine), IV dosin' ranges, adjustin', an' no-gosReview first-line IV an' oral blood pressure lowerin' agents fi severe high blood in pregnancy, includin' dosin' ranges, adjustin' ways, no-gos, watchin', an' coordinatin' wid seizure prevention an' fetus check.
IV labetalol dosing and titration protocolIV hydralazine dosing, onset, and redosingOral nifedipine for acute severe hypertensionContraindications and drug interaction pitfallsBlood pressure targets and monitoring frequencyLesson 6Magnesium sulfate: drug workin', bolus an' drip dosin' plans, watchin' fi poison, an' reversin' wid calcium gluconateDetail magnesium sulfate drug workin', loadin' an' keepin' plans fi seizure prevention an' treatment, good levels, bedside poison watchin', high-risk times, an' reversin' wid calcium gluconate an' support care.
Mechanism of action and therapeutic rangeLoading dose and maintenance infusion regimensClinical and laboratory toxicity monitoringRisk factors for magnesium accumulationCalcium gluconate reversal protocolLesson 7Obstetric decision-makin' after stabilizin': reasons an' timin' fi delivery, startin' vs cesarean at 37+ weeksAddress obstetric decision-makin' once di patient steady, includin' reasons an' timin' fi delivery, delivery way choices, startin' methods, cesarean reasons, an' coordinatin' wid mama an' fetus state.
Stabilization goals before considering deliveryIndications for immediate versus delayed deliveryInduction methods in hypertensive patientsWhen to choose cesarean over vaginal birthBalancing maternal and fetal risks at termLesson 8After birth care, watchin' fi repeat seizures, magnesium keepin' dosin' an' length, newborn considerin'sFocus pon after birth watchin' after eclampsia, includin' blood pressure an' brain check, magnesium continuin' an' weanin', handlin' repeat seizures, an' newborn check fi drug exposure an' problems.
Postpartum blood pressure and symptom monitoringDuration and adjustment of magnesium infusionEvaluation and treatment of recurrent seizuresPostpartum counseling and follow-up planningNeonatal assessment after maternal magnesiumLesson 9Immediate seizure handlin': airway, oxygen, positionin', choke prevention, an' seizure stop prioritiesCover immediate bedside actions durin' an eclamptic seizure, focusin' pon airway protection, mama positionin', oxygen givin', choke prevention, safe place, seizure stoppin', an' quick move to main therapy.
Airway opening, suction, and adjunct selectionLeft lateral positioning and uterine displacementOxygen delivery methods and monitoringAspiration prevention and gastric protectionSeizure termination sequence and timingLesson 10Body workin' a' pre-eclampsia an' eclampsia an' mama/fetus meanin's at full termDescribe current knowin' a' preeclampsia an' eclampsia body workin', includin' bad placenta settin', vessel wall problem, mama organ hurt, an' resultin' mama an' fetus effects at full term.
Abnormal placentation and spiral artery changesEndothelial dysfunction and vasospasm cascadeMultiorgan maternal injury mechanismsFetal growth restriction and hypoxia risksLong-term maternal cardiovascular sequelae