Verse 1 – History on Scene Past medical history, I ask it clear, Hypertension meds—what’s she taking here? Prenatal care—did she follow through? Prior pregnancies, births—what’s true? Gravida and para, I need that line, Every detail helps me define. Missed period, bleeding, pain in sight, Known or suspected pregnancy—treat it right. Chorus Left lateral recumbent, tilt to the side, Right up ten to twenty degrees we guide. Vaginal bleeding, abdominal pain, Seizures in the setting—act again. Hypertension rising, headache severe, Visual changes—we stay near. Edema of hands and face we see, This could be preeclampsia or eclampsy. Verse 2 – Signs and Red Flags Severe headache pounding through, RUQ pain, epigastric too. Vomiting, nausea, reflexes high, Blood pressure climbing toward the sky. Cardiac monitor placed with care, 12-lead ECG if needed there. IV or IO access start, Documentation from the heart. Abdominal pain, vomiting, diarrhea— Follow protocol, make it clear. Exit to the proper flow, Hypotension or diabetic protocol if signs show. Pre-Chorus – Differential Mindset Pre-eclampsia or eclampsia state, Placenta previa bleeding great. Abruptio placenta—pain and shock, Spontaneous abortion—watch the clock. Ectopic pregnancy may hide inside, Tubal rupture we must not misguide. Women of childbearing age with pain— High suspicion in our domain. Chorus Seizure activity—don’t delay, Benzodiazepine leads the way. Midazolam 2.5 IV, Repeat every 3–5 if needed be. Or 10 IM if access slow, Max twenty mg—steady flow. Magnesium sulfate, four grams slow, Over ten minutes let it go. May repeat once, max eight total, Even if seizure has already settled. It reduces recurrence, improves survival rate, In eclampsia we medicate. Verse 3 – If Seizures Persist After two doses of midazolam given, Levetiracetam becomes driven. Twenty mg per kilo IV/IO, Rounded dosing—steady flow. Maintain left lateral, protect the airway, Monitor and reassess throughout the day. Blood glucose analysis done, Rule out hypoglycemia—another one. Bridge – Bleeding & Shock Uncontrolled hemorrhage, signs of shock, Regardless of pregnancy—don’t balk. Tranexamic acid, two grams in, Over ten minutes—help to win. If field delivery occurs that day, Oxytocin IM—ten units to stay. After placenta, massage the uterus tight, Lower abdomen—contract it right. Breakdown – Monitoring Care Greater than twenty weeks in age, Four to six hours fetal stage. L&D monitoring at facility made, No ultrasound claim—just monitoring laid. Ask pads per hour—quantify bleed, Objective numbers help us proceed. If eclampsia strikes, remember this fact: Magnesium lowers seizures’ impact, And reduces death significantly too— Evidence guides what we do. Final Chorus Left side tilt, maintain the flow, Cardiac monitor helps us know. Seizures first—benzodiazepine, Magnesium follows in this scene. TXA for shock with bleeding wide, Oxytocin after birth beside. From preeclampsia to placenta’s pain, We follow protocol—calm and trained. Outro In hypertension’s stormy sea, We act with clarity. History, symptoms, differential blend, Through every step we monitor and trend. For mother and baby, we stand prepared— Evidence-based, focused, and aware.
