CMSA FCOG(SA) Part II Practice Questions - Fellowship Of The College Of Obstetricians And Gynaecologists Of South Africa Part II Exam

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A 32-year-old G2P1 at 34 weeks gestation presents to the labor ward with a blood pressure of 165/110 mmHg, 3+ proteinuria, and severe frontal headache. According to South African ESMOE and National Department of Health guidelines, what is the initial loading dose of Magnesium Sulfate for eclampsia prophylaxis?

4 g IV slowly over 10-15 minutes plus 10 g IM (5 g in each buttock) 6 g IV bolus over 5 minutes followed by 2 g/hour IV infusion 2 g IV bolus over 20 minutes followed by 5 g IM in one buttock 10 g IV bolus over 30 minutes with no maintenance dose

Correct Answer:

4 g IV slowly over 10-15 minutes plus 10 g IM (5 g in each buttock)

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