Magnesium Sulphate

March 28, 2011 nanain08

Hey, im back again! Thanx, ching mun! hehe. I memang planning to write again and again. And have been planning on this topic since last entry.
How was I diagnosed to have Impending Eclampsia?
Hmm.. It kind off incidental diagnosis lor..
It was my 2nd day of O&G posting and I was 36week 4 days POA. I was posted to Gynae ward and was not asked to do tagging since I was already 36 week and my O&G boss is the nicest boss ever.I was actually enjoying O&G
However, the only thing worries me was my lower limb oedema was getting worst. No, i think i had generalized oedema. Legs and hands are painful. Especially the MCP and MTP joint. Alhamdulillah my hubby is such a nice person, I had the massage nearly every night.
Hmm.. back to the story, so I did a UFEME.
As what I have thought. It came back as;
Proteinuria 4+
Leukocytes 2+
all others are negative.
I was.. dont know what to say, thought maybe I had UTI, that’s why got proteinuria. But then, with my oedema, I was worried.
SO, after the morning round, I asked my MO’s opinion. She was also worried, and ask me to consult our specialist.
Then, it all begin.
She asked the nurse to measure my BP.
Ya Allah.. it was 150/90 over 3 repeated readings and rest
I was then admitted to antenatal ward for close observation.
Honestly, I was well. I had no symptom. My BP and UFEME the last 2 weeks was normal. And my baseline BP was only 90/60. The highest BP I had ever recorded was 100/60.
I was worried, of course.
But i tried my best to calm myself.
I was admitted to acute bay. It was kinda funny when you are the one who was clerked. But I made my colleague’s life easy. haha. Since i know everything they wanted to know.
I was given T. Nifedipine since my BP did not come down.
Yet, the 1st 1 hour I was already bored.
But, being admitted is borring. haha.
2 hours after admission, i complaint of headache to my hubby. COz im so bored!! I cant do anything. However, until petang pon, my headache didnt go off.
Thus, at last i let the HO in charge know and she consulted the MO.
Well, well, well.. I had IE symptom la!!
I was then sent to HDU labour room stat!
AT 5pm, specialist did round in HDU. And of course, to play safe, she said, must start MgSO4. SInce I had persistent headache.
Not just that, prior to IVI MGSO4, i had vomiting and my headache actually got more severe.
And IVI MgSO4 was started at 6pm, initially with the bolus dose over 1 hour. Ya ALlah, at that time He was the only one who knows how painful it is and it cause me to feel very2 warm. I was so irritable like a 3 year old kid. Furthermore, my worst nightmare ever, I had CBD inserted and it was painful and uncomfortable for the first few hours.
I think the nurses might have add up my diagnosis, ie; Manjalitis.
haha. i dont care, coz the combo of MgSO4 and CBD was not good at all.
ALhamdulillah, my hubby was always by my side.. Pity him.. Thanx, sayang..