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JIPMER >
2003 >
Gynaecology &
Obstetrics
> Explanation
- The parameters used in the monitoring of use of
magnesium sulphate in eclampsia include all , except?
A. Urine output
B. Deep tendon reflexes
C. Respiratory rate
D. Serum calcium levels
Ans: D) Serum calcium levels
[Ref: DCDutta's Textbook of Obstetrics, 4th
Ed, Pg-249]
Explanation -
Repeat injections of Magnesium Sulphate are given in
Eclampsia only if -
- Knee jerks are present
- Urine output exceeds 100 ml in previous 4 hours
- Respiration rate is > 10 / minute
Therapeutic levels of serum magnesium is 4 - 7 mEq/L
The regimen is known as Pritchard regimen
Magnesium sulphate is continued for 24 hours after the
last fit
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