HTN disorders of Preg

Question 1

define HTN in preg

Answer 1

> 140 sBP or >90 dBP

Question 2

when would chronic HTN be diagnosed in pregnancy?

Answer 2

<20K

Question 3

compare GHTN and PET diagnosis

Answer 3

GHTN: HTN in preg for first time >20K in absence of proteinuria/other organ system involvement
PET: HTN with proteinuria/other organ system involvement

Question 4

list risk factors for PE

Answer 4

primip, multiple, >10yrs bw pregnancies, mat age >40, BMI >35, prev/fam hx PE, proteinuria at booking

Question 5

list 6 organs involved in PE and assoc clinical symptoms

Answer 5

renal: proteinuria >300mg
liver: sudden increase transaminases w/without RUQ pain
neuro: persistent vision dist
haematological: haemolysis
pulmonary: pulm oedema
uteroplacental: FGR

Question 6

list mat and fetal complications assoc with HTN in pregnancy

Answer 6

mat: cerebral injury, mortality, plac abruption, DIC, hepatic/renal failure
fetal: prem, SGA, NICU, stillbirth

Question 7

what is the loading dose of mag sulf?

Answer 7

4g IV over 20mns via controlled infusion device

Question 8

what are the symptoms of mag sulf OD

Answer 8

muscle weakness, vomiting, flushing, loss of reflexes

Question 9

what meds should not be given in third stage to woman with HTN disorder

Answer 9

ergo/syntometrine