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Flashcards in pre eclampsia Deck (29):
1

what is it

pregnancy induced hypertension with proteinuria and oedema

2

when does it usually develop

after 20 weeks, resolves within 10 days of delivery

3

risk factors pre eclampsia severe risk

chronic hypertension, hypertension in previous pregnancy, CKD, DM, autoimmune disease

4

risk factors moderate risk

1st pregnancy >40 yrs; pregnancy interval >10y, BMI high, FH eclampsia, multiple pregnancy

5

what should you take if 1 high risk or 2 moderate risk factors

aspirin 75mg from 12th week pregnancy

6

effects of pre eclampsia

plasma vol decr, incr peripheral resistance, DIC, oedema may be sudden, proteinuria late sign

7

preventing eclampsia

bp checks and urinalysis; MgSO4, uterine artery Doppler

8

symptomatic pre eclampsia

headache, chest or epigastric pain, vomiting, increased pulse, visual disturbance- central scomata, shaking, hyperreflexia with clonus, irritability

9

what is the BP

> 140/90

10

management- when to admit to hospital

if the bp rises by >30/20 over booking bp, if bp >160/100 or if bp >140/90 + proteinuria or growth restriction- admit to hospital

11

management in hospital

bp every 2-4 hours, weigh daily, test all urine for protein, monitor fluids, check U&E, LFTs, platelets. CTG

12

treatment hypertension

labetalol - 200 mg total. alternative hydralazine

13

fetal risk factors for pre eclampsia

hydatiform mole, multiple pregnancy, placental hydrops

14

diagnosis pre eclampsia

hypterntension after 20 weeks with one or more of: proteinuria, renal insufficiency, liver disease, neuro problems, haem- DIC, thrombocytopenia, uteroplacental dysfunction

15

what symptoms can you get from liver disease due to pre eclampsia

epigastric or RUQ pain

16

what syndrome can you get

HELLP

17

what does HELLP stand for

haemolysis, elevated liver enzymes, low platelet count

18

effects of pre eclampsia on the baby

asphyxia, abruption, small babies

19

what is the only cure

delivery

20

what is severe pre eclampsia

bp >160/100 with proteinuria or >140/90 with proteinuria and one of other symptoms

21

treatment severe pre eclampsia

MgSO4 4g IV over 15 mins in 100ml 0.9% saline; catheterise; monitor FHR; delivery

22

when should baby be kept inside up until

35 weeks if before 34 weeks - monitor well being

23

if diagnosed after 35 weeks what is the management

labour induced or C section

24

should pre eclampsia be allowed to exceed term

no as death increases

25

does pre eclampsia recur in next pregnancy

5% of next pregnancies

26

features eclampsia

convulsions and coma. preceded by disorientation- restless, twitchy, tonic clonic

27

treatment eclampsia

MgSO4 4mg over 5 mins maintain for 24 hour (1g/h); second seizure give 2mg

28

when should you stop MgSO4 in eclampsia

if RR

29

what can you give if toxic from MgSO4

calcium gluconate