eclampsia

G1P0 @ 25 wks

-fitting 1st time
-c/o epigastric pain and discomfort and SOB since last night
-BP worse last night, but had been improving
-this morning otherwise pt no complain, bp ok. last was 150/80
-but develop fit?

where was the mistake? where could improve?

-x review acute first during rounds
-PE pt no branula
-if c/o SOB, epigastric pain, dont simply dismiss, even if pt well currently
-take GM
-shouldve monitor pt in LR
-x cek lungs, reflex

-luckily it happens during rounds with specialist
-what if it happens during am review, when I was alone? what would I do if that occurs?
-if no branula, give IM