Hypertension In Preg Flashcards Preview

Jason's MD3 Women's > Hypertension In Preg > Flashcards

Flashcards in Hypertension In Preg Deck (28):
1

Preeclampsia is?

Syndromic
Pregnancy induced
HTN
Proteinuria
Generalized oedema
Multi system dysfunctions

2

Preg HTN defined as?

>140/90

3

Preeclampsia definition

HTN - >140/90 of 170/110
Proteinuria >300mg/24h
Generalised oedema

4

3 most important causes of proteinuria

Artifact-leukoruria from cervix
UTI
Preeclampsia

5

How to ask about preeclampsia to family?

Any difference in appearance? (Swollen face)

6

How to manage preeclampsia?

Premature delivery

7

How to cure preeclampsia?

Deliver the baby and placenta!

8

Preeclampsia affects What system?

Cardiovascular
Renal
Haematologic all
Neurological
Hepatic
Uteroplacental

9

Symptoms for preeclampsia occurs?

LATE.
Very asymptomatic

10

Predisposing to preeclampsia?

FHx
Age extremes
First preg
New paternity
period of Sexual cohabitation (more antigen exposure)
Assisted reproduction

11

Medical comorbidities that increase preeclampsia?

Chronic HTN
SLE
DM2
Disease
Thrombophilias

12

Predisposing pregnancy conditions for preeclampsia?

Size of placenta from
Multiple preg
Gestational DM2
Trophoblasts disease
Hydrops Fetalis

Trisomy13

13

Indicators of severe preeclampsia?

extreme HTN
Headache
Papillon edema
Visual disturbance
Upper Abdo pain
Hyper reflexes
Oliguria
Proteinuria
Thrombocytopaenia
Pulmonary oedema
Elevated liver enzymes

14

Management of HTN?

Admit
Stabilize
BP control
Seizure prophylaxis
Fluids
Fetal welfare surveillance
Multidisciplinary care
DELIVERY
Third stage management (drug to minimize bleeding - no longer ergometrine, now: -Syntocinon-)
Postpartum observation
Followup

15

Pre-eclampsia is cured when?

AFTER delivery. Not AT delivery, need postpartum observation

16

Post partum observation indicators

Look at urine output. If increasing:
Kidneys working, recovering,

17

Preeclampsia HTN management pharma?

Labetalol
Nifedipine

18

Neuronal stabilization in Preeclampsia pharma?

MgS04 syringe pump 4g bolus over 15 minutes
2g/HR maintenance
Monitor reflexes, Resp, serum levels, urine output
Continue 24 hours postpartum
The MAGPIE trial.

19

Antidote for MgS04 if the woman Preeclampsia stops breathing

CaCl2. 10ml, 10%

20

MgS04 effects in preterm fetus?

Less likely to have cerebral palsy
Will give at less than 30 weeks gestation, close to 4 hours before birth or within 24 hours of expected birth
Give to mother

21

Preeclampsia delivery favoring vaginal?

Multiparous mother
Cerebral BP
Ripe cervix
Mature fetus
Cephalic presentation

22

Preeclampsia delivery route favoring c section

Miparous mother
Unstable BP
Cerebral irritability
Un ripe cervix
Immature fetus
Breech
IUGR
Abnormal Doppler

23

Most common reason for grand-mal seizure in preg?

Epilepsy

24

How to distinguish epilepsy from Preeclampsia?

Bracelet of epileptic woman
Look in handbag for Meds
Gum hypertrophy

25

Version of Preeclampsia affecting liver/haematologic all

HELLP syndrome

Haemolysis elevated Liver Enzymes Low Platelet Count

26

DDx HTN in preg?

Chronic HTN
Endocrine: phaeo
Cushing
Renal htn

27

Only treatment to prevent Preeclampsia?

Low dose Aspirin
CLASP Trial

28

Theory of Preeclampsia?

Poor placenta growth into the decidua, the arterioles still have smooth muscle, can contract raising BP