What is the primary approach to manage eclampsia in pregnant patients?

The primary approach to managing eclampsia in pregnant patients is the administration of magnesium sulfate. This medication serves as a central nervous system depressant and helps to prevent and control seizures, which are the hallmark of eclampsia. In addition to its anticonvulsant properties, magnesium sulfate can also provide some neuroprotective benefits for the fetus.

While other options may have roles in the overall management of a pregnant patient with eclampsia — such as controlling hypertension or addressing fluid needs — they do not directly address the immediate risk of seizures as effectively as magnesium sulfate. Hydration may be necessary for overall patient care but is not specific to the management of eclampsia. Anti-hypertensives are important for controlling high blood pressure, a common concern in pre-eclampsia and eclampsia, but they do not prevent seizures, which is the critical aspect of managing this condition.