Kidney in Pregnancy

Question 1

major hemodynamic changes in kidney (5)

Answer 1

1. peripheral vascular resistance decreases
2. cardiac output increases
3. BP decreases
4. blood volume increases
5. renal blood flow and GFR increase

Question 2

CKD in pregnancy

Answer 2

CKD increases risk of adverse outcomes (worse CKD = worse risk)
pregnancy can accelerate advanced CKD
HTN (common in CKD) increased pregnancy risks

Question 3

pre-ecclampsia sx and tx

Answer 3

sx: HTN, edema, proteinuria, encephalopathy, endothelial dysfunction
tx: delivery