A type 1 diabetic mother is on magnesium sulfate infusion post-cesarean section for preeclampsia. She develops delirium and is drowsy. She has a respiratory rate of 10/min, random blood glucose level of 240 mg/dL, oliguria, and bilaterally absent knee reflex. What is the cause of her condition?
Options
- Magnesium sulfate toxicity
- Diabetic ketoacidosis
- Eclampsia
- Diabetes insipidus
Correct Answer
Magnesium sulfate toxicity
Explanation
Loss of deep tendon reflexes (absent knee reflex), respiratory depression (RR 10/min), drowsiness, and oliguria are classic signs of magnesium toxicity. Treatment involves stopping magnesium sulfate and administering calcium gluconate.
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