In a patient with eclampsia during seizures, which of the following is recommended?

In a patient with eclampsia during seizures, which of the following is recommended?

• A. Initiate magnesium sulfate administration.
• B. Place patient on oxygen and monitor.
• C. Protect airway and protect from injury.
• D. Transport immediately without ensuring airway.

Answer: (C)

During an eclamptic seizure, the most urgent priority is protecting the airway and preventing injury. Seizures disrupt normal breathing and can lead to aspiration or trauma, so the immediate action is to position the patient to maintain airway patency, typically on the side, while supporting the head and clearing secretions with suction as needed. Do not insert objects in the mouth or restrain movements; let the seizure run its course while you monitor and protect. Once the airway is secured, assess breathing and provide oxygen if indicated, and continue to monitor vitals. Magnesium sulfate is important to treat and prevent further seizures in eclampsia, but the key action during the active seizure is safeguarding the airway and preventing injury. Transport can proceed after airway safety is established, with ongoing monitoring and supportive care as needed.

During an eclamptic seizure, the most urgent priority is protecting the airway and preventing injury. Seizures disrupt normal breathing and can lead to aspiration or trauma, so the immediate action is to position the patient to maintain airway patency, typically on the side, while supporting the head and clearing secretions with suction as needed. Do not insert objects in the mouth or restrain movements; let the seizure run its course while you monitor and protect.

Once the airway is secured, assess breathing and provide oxygen if indicated, and continue to monitor vitals. Magnesium sulfate is important to treat and prevent further seizures in eclampsia, but the key action during the active seizure is safeguarding the airway and preventing injury. Transport can proceed after airway safety is established, with ongoing monitoring and supportive care as needed.