Sun28November0440PM 41

Are the following true of pregnant woman with epilepsy?

True / False

Altered absorption can affect the pharmacokinetics of anticonvulsant therapies Correct

Benzodiazepines should be avoided for seizure control Correct

Epidural anaesthesia for labour is contraindicated Correct

The most common cause of seizure is her epilepsy Correct

Seizure frequency decreases Correct

Explanation

When a patient presents with seizure other causes such as eclampsia, LA toxicity and metabolic derangement should be considered.

Seizure frequency increases secondary to poor medication compliance, altered pharmacokinetics and normal hormonal changes.

Labour analgesia is most effectively achieved with epidurals - this avoids the necessity for parental opioids that could lead to CNS depression.

As with seizure control in a non-pregnant individual the basic principles are ABC and control seizure with benzodiazepines. If an eclamptic seizure is suspected then magnesium should be commenced.

Answer Statistics

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Average score: 80.00%

Times answered: 288