HTN in Pregnancy Flashcards Preview

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Flashcards in HTN in Pregnancy Deck (19)
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1
Q

Defn of HTN

A

> 140/90

2
Q

What is the management of gestational HTN

A

labetalol or nifedipine

3
Q

Defn of preecclampsia

A

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

4
Q

etiology of preecplamsia

A

multiorgan vasospasm

5
Q
Hoe preE effects following organs: 
brain
liver
kidneys
placenta
small vessels
A

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
Q

What are RF for preE

A

nulliparity, multiple gestations, chronic HTN, FH

7
Q

how is PreE managed?

A

control HTN with labetalol and nifedipine

seizure ppx with MgSO4 (4g LD + 2g/hr)

8
Q

WHat is severe preE

A

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

9
Q

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

A

hydatidform mole

10
Q

What is HELLP syndrome?

A

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

11
Q

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

A

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

supportive care, txp if necessary

12
Q

What type of seizures do eclamptic pts have

A

tonic-clonic (grand mal)

13
Q

What is the distribution of seizure timinig

A

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

14
Q

What is the major side effect of MgSO4

A

pulm edema

15
Q

What is the first sign of MgSO4 overdose

A

DTR decrease

16
Q

What are other signs of MgSO4 overdose

A

dec DTRs, resp depression, coma, cardiac arrest

17
Q

WHat is the tx for MgSO4 overdose

A

calcium gluconate

18
Q

how is cHTN diagnosed/defined

A

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

19
Q

How are preg pts with cHTN managed?

A

labetalol, nifedipine + baseline EKG + 24 hr urine protein

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