Hypertension and Pre-Eclampsia Flashcards Preview

OB&G > Hypertension and Pre-Eclampsia > Flashcards

Flashcards in Hypertension and Pre-Eclampsia Deck (11):
1

After what gestation date does gestational hypertension occur?

Post 20 weeks

2

What is the grading of gestational hypertesnion?

Mild: 140-149/90-99 mmHg

Moderate: 150-259/100-109 mmHg

Severe: >160/100mmHg

3

What is the management of mild gestational hypertension?

Regular BP monitoring (twice weekly) and check urine for protein at each visit. Counsel patient on signs of pre-eclampsia.

4

What is management of moderate gestational hypertension?

Labetalol + regular monitoring.

5

What is the management of severe gestational hypertension?

Admit + labetalol + regular monitoring.

6

What are the potential complications of gestational hypertension?

Pre-eclampsia, eclampsia, placental abruption, impaired foetal growth, premature birth.

7

What are the features of pre-eclampsia?

Hypertension (>140/90) and proteinuria).

+/- oedema, headache, visual disturbance, epigastric pain, vomiting, low platelets, raised LFTs

8

What are the features of HELLP?

Haemolysis, elevated liver enzymes, low platelets.

9

What is the management for all women with pre-eclampsia?

ADMIT. Frequent bloods, urine collection, foetal monitoring.

Labetalol if BP >150/100

10

What is the protocol for delivery in pre-eclampsia?

<34 weeks: give steroids, then reassess after 24 hours.

>34 weeks: delivery

If unstable, deliver ASAP at any age.

11

What is the management of eclampsia?

ABCDE (airway, O2)
Magnesium for seizures
IV labetalol
Monitor fluids

Delivery (usually by LSCS) as soon as stable