What medication is indicated for a 28-year-old eclamptic patient with a post-ictal BP of 160/100?

For an eclamptic patient, the primary goal is to control seizures while also managing hypertension. Magnesium sulfate is the drug of choice in the treatment of eclampsia because it acts as both an anticonvulsant and a neuroprotective agent. Administering magnesium sulfate 4 g IV over 10 minutes is consistent with established protocols for managing eclampsia and preventing further seizures. It helps reduce the incidence of recurrent seizures, improving maternal and fetal outcomes.

In the context of hypertension post-ictal, while managing blood pressure is important, the immediate concern in eclampsia is stopping seizures and preventing further neurological deterioration. Therefore, using magnesium sulfate not only addresses the seizures but can also have a stabilizing effect on blood pressure.

Other options, while they have their specific uses, do not address the immediate needs of an eclamptic patient. For example, benzodiazepines like diazepam are typically not recommended as first-line therapy for seizures in eclampsia, and labetalol, which is a beta-blocker used to manage hypertension, does not address the seizure component directly. Oxytocin, primarily indicated for labor induction and postpartum hemorrhage, is not relevant in this acute situation. Hence, magnesium