Mrs Abu, a primidgravida was admitted with severe pre-eclampsia of 29 weeks' gestation and complained of...

Mrs Abu, a primidgravida was admitted with severe pre-eclampsia of 29 weeks' gestation and complained of a headache .A junior house officer prescribed co-proxamol over the telephone, failing to appreciate the significance of a rise in Blood pressure. The Blood pressure was checked later to be 150/100mm Hg

a) What are the shortfalls with the way the Junior house officer managed Mrs. Abu?

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Expert Solution

Pre eclampsia is a potentially dangerous pregnancy complication characterised by high blood pressure.Preeclampsia is a pregnancy-specific, multisystem disorder that is characterized by the development of hypertension and proteinuria after 20 weeks of gestation.
Complications of hypertension are the third leading cause of pregnancy-related deaths, superseded only by hemorrhage and associated with increased risks of placental abruption, acute renal failure, cerebrovascular and cardiovascular complications, disseminated intravascular coagulation, and maternal death. Consequently, early diagnosis of preeclampsia and close observation are imperative.
Management of pre eclampsia
Delivery (vaginal) is the ultimate management.
Antihpertensive drugs.Hydralazine and labetalol.
Seizure prevention.Magnesium sulfate.
Here the doctor provided an NSAID for the patient without assessing the patients condition completely to exclude the risk of preeclampsia and its ill effects.

Nightingale answered 1 year ago

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