Clinical PresentationA 29-year-old primigravida woman weighing 80 kg presented to the labor room from home at 37 weeks with a 1-week history of visual disturbances and headaches. Additionally, she complained of epigastric pain and lower limb edema. At the hospital, the patient had a seizure episode that lasted approximately 30 seconds. Review The health care setting includes a labor and delivery unit. Additionally, it has a secondary laboratory for accelerated laboratory measurements. The attending nurse was asked to take the patient's blood pressure. This was achieved by placing the cuff at heart level, with diastolic readings inferred from the abolition of heart sounds. She was found to have a systolic blood pressure of 180 mmHg and a diastolic blood pressure of 110 mmHg. Laboratory tests revealed that she had 0.5 g of protein in her urine and that there was marked thrombocytopenia as well as disturbed liver function. A diagnosis of preeclampsia was made. Based on these measurements, the patient was classified as having severe preeclampsia and, as such, the severe preeclampsia protocol was initiated. Further laboratory tests performed confirmed the diagnosis. These included an elevated AST aspartate aminotransferase level and a low platelet count. Multidisciplinary team approach The attending nurse transferred the patient to a spacious room in the labor room. She then called the attending obstetrician to explain the situation. After that, she called the anesthetist and a specialist obstetric medicine registrar, informed them and requested their presence. An intensive care observation chart was obtained and monitoring initiated to ensure constant monitoring ...... middle of paper ...... on tendon reflexes immediately after administration of the loading dose. Subsequently, monitoring is carried out on an hourly basis. In addition, the respiratory rate was monitored every hour in addition to checking the patient's level of consciousness at the rate of each hour and the urine output. During the infusion process, urine output was observed to fall below 50 ml within 2 hours. The specialist obstetrician was immediately called by the attending nurse. The specialist ordered the maintenance infusion to be stopped. The anesthetist was informed and blood was drawn to determine the amount of magnesium in the blood vapor. 1 g of calcium gluconate was administered intravenously over 3 minutes to counteract the toxic effects of magnesium sulfate on the heart. The patient stabilized and the respiratory rate returned to normal.