Aralin 1Lab at imaging workup: baseline CBC, platelets, LFTs, creatinine, coagulation panel, urinalysis, at kailan gumamit ng CT/MRI sa seizure workupNagbubunyag ng essential laboratory at imaging evaluation sa eclampsia, kabilang ang baseline hematologic at metabolic tests, coagulation at renal panels, urine studies, at indications para sa CT o MRI upang alisin ang alternative neurologic diagnoses.
Baseline CBC, platelets, at peripheral smearLiver, renal, at coagulation test panelsUrinalysis at protein quantification optionsKailan mag-order ng CT versus MRI ng brainPag-interpret ng abnormal results para sa managementAralin 2Pamamahala ng complications: HELLP syndrome, DIC, pulmonary edema, renal impairment — monitoring at interventionsNag-e-explore ng pagkilala at pamamahala ng HELLP, DIC, pulmonary edema, at renal impairment sa eclampsia, kabilang ang diagnostic criteria, monitoring plans, pharmacologic at supportive interventions, at thresholds para sa ICU transfer.
Diagnostic criteria at staging ng HELLPPagkilala at paggamot ng obstetric DICAssessment at pamamahala ng pulmonary edemaRenal impairment: labs, fluids, at dialysisICU referral criteria at multidisciplinary careAralin 3Pagkilala: red flags (severe headache, visual symptoms, hyperreflexia, proteinuria) at seizure characterizationIpinaliliwanag ang maagang pagkilala ng preeclampsia at impending eclampsia, na binibigyang-diin ang key symptoms, blood pressure thresholds, neurologic signs, proteinuria assessment, at seizure characterization upang gabayan ang urgent escalation ng care.
Blood pressure thresholds at measurement techniqueHeadache, visual changes, at neurologic signsHyperreflexia at clonus assessment stepsProteinuria testing at alternative markersSeizure phases at postictal evaluationAralin 4Anesthesia considerations para sa labor o operative delivery sa eclamptic patientsNagre-review ng anesthesia options at risks para sa labor at operative delivery sa eclamptic patients, kabilang ang neuraxial versus general anesthesia, platelet thresholds, airway concerns, drug interactions, at intraoperative blood pressure control.
Pre-anesthesia assessment at optimizationNeuraxial anesthesia: indications at limitsGeneral anesthesia at difficult airway risksAnesthetic drug choices at interactionsIntraoperative blood pressure managementAralin 5Acute antihypertensive therapy: agents (labetalol, hydralazine, nifedipine), IV dosing ranges, titration, at contraindicationsNagre-review ng first-line IV at oral antihypertensive agents para sa severe hypertension sa pagbubuntis, kabilang ang dosing ranges, titration strategies, contraindications, monitoring, at koordinasyon sa seizure prophylaxis at fetal assessment.
IV labetalol dosing at titration protocolIV hydralazine dosing, onset, at redosingOral nifedipine para sa acute severe hypertensionContraindications at drug interaction pitfallsBlood pressure targets at monitoring frequencyAralin 6Magnesium sulfate: pharmacology, bolus at infusion dosing regimens, monitoring para sa toxicity, at reversal gamit ang calcium gluconateNagdedetalye ng magnesium sulfate pharmacology, loading at maintenance regimens para sa seizure prophylaxis at treatment, therapeutic levels, bedside toxicity monitoring, high-risk scenarios, at reversal gamit ang calcium gluconate at supportive care.
Mechanism of action at therapeutic rangeLoading dose at maintenance infusion regimensClinical at laboratory toxicity monitoringRisk factors para sa magnesium accumulationCalcium gluconate reversal protocolAralin 7Obstetric decision-making post-stabilization: indications at timing para sa delivery, induction vs cesarean sa 37+ weeksTumutugon sa obstetric decision-making kapag stabilized na ang pasyente, kabilang ang indications at timing para sa delivery, mode of delivery choices, induction methods, cesarean indications, at koordinasyon sa maternal at fetal status.
Stabilization goals bago isaalang-alang ang deliveryIndications para sa immediate versus delayed deliveryInduction methods sa hypertensive patientsKailan pumili ng cesarean kaysa vaginal birthBalancing maternal at fetal risks sa termAralin 8Postpartum care, monitoring para sa recurrent seizures, magnesium maintenance dosing at duration, neonatal considerationsNakatuon sa postpartum monitoring pagkatapos ng eclampsia, kabilang ang blood pressure at neurologic surveillance, magnesium continuation at weaning, pamamahala ng recurrent seizures, at neonatal evaluation para sa drug exposure at complications.
Postpartum blood pressure at symptom monitoringDuration at adjustment ng magnesium infusionEvaluation at paggamot ng recurrent seizuresPostpartum counseling at follow-up planningNeonatal assessment pagkatapos ng maternal magnesiumAralin 9Immediate seizure management: airway, oxygen, positioning, aspiration prevention, at seizure termination prioritiesTumutakip sa immediate bedside actions sa panahon ng eclamptic seizure, na nakatuon sa airway protection, maternal positioning, oxygen delivery, aspiration prevention, safe environment, seizure termination, at mabilis na transition sa definitive therapy.
Airway opening, suction, at adjunct selectionLeft lateral positioning at uterine displacementOxygen delivery methods at monitoringAspiration prevention at gastric protectionSeizure termination sequence at timingAralin 10Pathophysiology ng pre-eclampsia at eclampsia at maternal/fetal implications sa termNaglalarawan ng kasalukuyang pag-unawa sa pathophysiology ng preeclampsia at eclampsia, kabilang ang abnormal placentation, endothelial dysfunction, maternal organ injury, at ang resulta ng maternal at fetal consequences sa term gestation.
Abnormal placentation at spiral artery changesEndothelial dysfunction at vasospasm cascadeMultiorgan maternal injury mechanismsFetal growth restriction at hypoxia risksLong-term maternal cardiovascular sequelae
