Medical MCQ - You have initiated 'Magpie' regime for a patient with eclampsia. Later you notice that the respiratory rate is 6/minute and the tendon reflexes are not elicitable. What is the next appropriate step?

You have initiated ‘Magpie’ regime for a patient with eclampsia. Later you notice that the respiratory rate is 6/minute and the tendon reflexes are not elicitable. What is the next appropriate step?

Inject naloxone at the rate of 0.01 mg/kg over 5 minutes

Inject calcium gluconate 10 ml over 10 minutes

Inject 0.4 mg Atropine IV

Inject 5 mEq/kg sodium bicarbonate IV over 10 minutes

Question Category:

Gynaecology & Obstetrics

Correct Answer:

Inject calcium gluconate 10 ml over 10 minutes

Description:

This is a case of MgSO4 toxicity and so the antidote is IV Calcium gluconate. Respiratory rate <14/minute or absent tendon reflex or urine output of Ref: Oxford Handbook of Clinical Specialities, Edition 8, Page - 49

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