HTN in Pregnancy Flashcards Preview

OBGYN Clerkship > HTN in Pregnancy > Flashcards

Flashcards in HTN in Pregnancy Deck (19)
1

Defn of HTN

> 140/90

2

What is the management of gestational HTN

labetalol or nifedipine

3

Defn of preecclampsia

HTN (>140/90) + proteinura (>300mg/day) + edema

4

etiology of preecplamsia

multiorgan vasospasm

5

Hoe preE effects following organs:
brain
liver
kidneys
placenta
small vessels

brain --> severe HA, seizure, stroke
Liver --> damge, RUQ pain, n/v)
Kidneys --> renal failure, proteinura, edema
placenta --> IUGR, IUFD
small vessels --> thrombocytopenia and DIC

6

What are RF for preE

nulliparity, multiple gestations, chronic HTN, FH

7

how is PreE managed?

control HTN with labetalol and nifedipine
seizure ppx with MgSO4 (4g LD + 2g/hr)

8

WHat is severe preE

HTN > 160/110, proteinuria (>5g/day or 3+) + other complications
**must deliver!!

9

If pt has preE in 1st trimester, what must you consider

hydatidform mole

10

What is HELLP syndrome?

Hemolysis (schitocytes, elevated LDH, inc bili)
Elevated LFTs
Low Plts

11

What is acute fatty liver of pregnancy? How is it managed?

fatty liver + HTN (>140/90) +/- proteinuria

supportive care, txp if necessary

12

What type of seizures do eclamptic pts have

tonic-clonic (grand mal)

13

What is the distribution of seizure timinig

1/4 before labor, 1/2 during labor, 1/2 after labor

14

What is the major side effect of MgSO4

pulm edema

15

What is the first sign of MgSO4 overdose

DTR decrease

16

What are other signs of MgSO4 overdose

dec DTRs, resp depression, coma, cardiac arrest

17

WHat is the tx for MgSO4 overdose

calcium gluconate

18

how is cHTN diagnosed/defined

HTN before conception
HTN before 20 wks
HTN lasting > 6wks postpartum

19

How are preg pts with cHTN managed?

labetalol, nifedipine + baseline EKG + 24 hr urine protein

**superimposed preE on cHTN when 24 urine protien > 300mg