NREMT Paramedic Practice

What is the main treatment protocol for eclampsia?

1. Intravenous fluids only

2. Administration of magnesium sulfate

3. Immediate delivery of the baby

4. Bed rest and pain management

The correct answer is: Administration of magnesium sulfate

The main treatment protocol for eclampsia is the administration of magnesium sulfate. Eclampsia is a severe complication of preeclampsia characterized by the onset of seizures in a pregnant woman. Magnesium sulfate is used for its anticonvulsant properties, which effectively help to prevent further seizures and stabilize the patient's condition. It also has a neuroprotective effect on the fetus. While other options may have roles in the overall management of the patient, they do not address the immediate and critical need to control seizures. For instance, intravenous fluids might be necessary to manage overall fluid balance, but they do not prevent seizures. Immediate delivery of the baby can be necessary in some cases, especially if the mother's or baby's life is in danger, but magnesium sulfate is prioritized to manage the acute seizures first. Bed rest and pain management might be considered in a broader treatment plan but are not sufficient for addressing the urgent issue of seizures in eclampsia.