Recurrent Eclamptic Seizure — FRCA Final MCQ
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Correct answer: B — Further 2g MgSO4 IV over 5 minutes
Recurrent eclamptic seizure after initial MgSO4: further 2g IV/5 min (Magpie Trial). Only after second bolus fails: alternatives (diazepam, thiopental + intubation). Phenytoin no longer recommended. Monitor MgSO4 toxicity: loss of reflexes, resp depression. Antidote: calcium gluconate.
Reference: NICE – 2023 – NG133; RCOG – 2022 – Eclampsia management