Hypertensive Disorders Flashcards
(20 cards)
HELLP syndrome is a manifestation of severe preeclampsia that presents with:
Hemolysis, elevated liver enzymes, and low platelets
What is the treatment for preeclampsia with severe features, eclampsia, or HELLP syndrome?
Antihypertensives, magnesium, and delivery
What finding on blood smear is characteristic of HELLP syndrome?
Schistocytes
A history of recent-onset abdominal pain or discomfort in a pregnant woman, especially in the third trimester of a woman with hypertension should arouse suspicion of:
HELLP syndrome
What is the likely diagnosis in a pregnant patient with preeclampsia that develops sudden-onset dyspnea, hypoxia, and crackles?
Pulmonary edema
Deliver time in
- Preeclampsia without severe features =
- Preeclampsia with severe features =
- Deliver at 37 weeks
- Deliver at 34 weeks
What are the drugs of choice to lower BP in severe preeclampsia (maternal hypertensive crisis > 160/110)?
- IV Labetalol
- IV Hydralazine
- PO Nifedipine
What is the treatment for preeclampsia with severe features, eclampsia, or HELLP syndrome?
Antihypertensives, magnesium, and delivery*
Preeclampsia is pregnancy-induced hypertension with proteinuria or end-organ dysfunction after _______of gestation
20th week
Patients who have preeclampsia without severe features prior to 34 weeks’ gestation are typically managed with:
Close maternal monitoring.
What is the most common risk factor for placental abruption?
Hypertension
The first-line agents for management of essential hypertension during pregnancy are:
Labetalol and methyldopa
Chronic hypertension is a blood pressure_____before the _____ of gestation
- ≥ 140/90 mmHg
- 20th week
Is hypertension required for the diagnosis of HELLP?
No
One of the first signs of magnesium sulfate toxicity is:
Depressed or absent deep tendon reflexes
What do you administer to reverse magnesium toxicity?
IV calcium gluconate
Patients with h preeclampsia with severe features between _____________gestation should also receive antenatal corticosteroid therapy for fetal maturation.
24 weeks’ and 34 weeks’
- Chronic HTN =
- Gestational HTN=
- Sustained > 140/90 before 20 weeks
- ## ≥ 140/90 after 20 weeks
Patients at high risk for preeclampsia (e.g. multiple gestation) are initiated on:
low-dose aspirin prophylaxis at 12 weeks gestation
Fetal complications of preeclampsia due to chronic uteroplacental insufficiency include(2):
- Oligohydramnios
- Fetal growth restriction
