Question 137 · LEK · Preeclampsia and eclampsia
A 20-year-old woman in the 34 week of pregnancy complains of headache, visual disturbances, nausea and edema. On physical examination: respiratory rate - 32/min, crepitation audible over the lungs, heart rate - 120/min, on the ECG a regular rhythm with narrow QRS complexes, blood pressure - 190/110 mmHg. During the examination seizures occurred. Which medication and dose should be administered?
- A. adenosine 6 mg i.v.
- B. furosemide 5 mg i.v.
- C. morphine 3-5 mg i.v.
- D. diazepam 40 mg i.v.
- E. magnesium sulfate 4 g i.v.
Hint
Seizures in a pregnant woman with severe hypertension and visual symptoms call for the drug of choice in this obstetric emergency.
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