A pre-hospital team is managing a 40-year-old female with severe pre-eclampsia. Her blood pressure is 175/115 mmHg. She has 3+ proteinuria, headache, ...

Question

A pre-hospital team is managing a 40-year-old female with severe pre-eclampsia. Her blood pressure is 175/115 mmHg. She has 3+ proteinuria, headache, and visual disturbance. She has NOT had a seizure. Per NICE guidelines, should magnesium sulphate be administered to this patient?

Accepted Answer

Yes - IV magnesium sulphate should be considered for seizure prophylaxis in severe pre-eclampsia with features such as headache, visual disturbance, or epigastric pain, even before seizures occur

Answer

Magnesium should only be given in hospital, never pre-hospital

Answer

No - magnesium is only indicated after an eclamptic seizure has occurred

Answer

No - magnesium is contraindicated in pre-eclampsia

Answer

Yes - but only oral magnesium supplements

uk-dipimc MCQ (SBA): Magnesium Prophylaxis in Pre-Eclampsia

A pre-hospital team is managing a 40-year-old female with severe pre-eclampsia. Her blood pressure is 175/115 mmHg. She has 3+ proteinuria, headache, and visual disturbance. She has NOT had a seizure. Per NICE guidelines, should magnesium sulphate be administered to this patient?