You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is 35 week multigravida presenting with epigastric pain, headache, visual symptoms, proteinuria 3+. What is the first step/next of management? and explain in detail?
Severe hypeension / preeclamptic toxemia (imminent eclampsia) is- - Hypeension with :- Headache Visual symptoms Epigastric pain Proteinuria > 300 mg/ 24 hr. urine Protein: creatine ratio >= 0.3 1st step of RX :- MgSo4 - IM + IV (Pritchard's regimen) This is followed by termination of pregnancy (Definitive treatment)