You have received prehospital notification about a 40-year-old female, G1P0, who is at 32 weeks gestation of a single pregnancy. She has had a witnessed generalised seizure lasting 3 minutes and is post ictal requiring manual airway support. Her current observations are:

  • HR 80
  • BP 165/105 mmHg
  • RR 16
  • Sats 98% of 100% O2 via bag valve mask
BSL 5.6

1. List (6) risk factors associated with pre-eclampsia 6 marks

2. List (4) medications which can be used to acutely lower BP in severe hypertension associated with pregnancy. Remember to include doses and routes 4 marks

3. Atier initial resuscitation and seizure cessation with benzodiazepine, what agent should be administered for prevention of further seizures? 2 marks