pre-eclampsia and eclampsia Flashcards
(14 cards)
Pre-eclampsia: charcterized by
Gestational hypertension
proteinurea
and
or
o The onset of hypertension and
organ dysfunction
end
with or without
proteinurea after 20 weeks of
pregnancy or postpartum
Risk factors for
preeclampsia\eclampsia
- Age <20 years or >35 years
- Nulliparity
3.Multiple gestation - Hydatidiform mole
- Diabetes mellitus
- Thyroid disease
- Chronic Hypertension
- Renal disease
- Collagen vascular disease
- Antiphospholipid syndrome
11.Family history of preeclampsia
preeclampsia with severe features
- SPB >160
*DPB >110
*thrombocytopenia - high creatinine >1.1
*high transaminases : AST/ALT >70
*pulmonary edema (breathing difficulty )
*visual or cerebral symptoms (blurred vision /headache /stroke
management of preeclampsia without severe features
delivery at >37 weeks
magnesium sulfate
antihypertensives
management of preeclampsia with severe features
delivery at > 34 weeks
*magnesium sulfate (seizure prophylaxis)
dose of MG sulfate
4-6 gr in 20-6- minutes
then 1-2 gr each hr for 24 hrs
HELLP syndrom
*Hemolysis
*Elevated Liver Enzymes
*Low Platelets
eclampsia
severe preeclampsia +seizures
eclampsia clinical features
hypertension
proteinuria
severe headache
visual disturbance
RUQ or epigastric pain
3-4 minutes of tonic clonic seizures ,usually self limited
eclampsia management
- administer magnesium sulfate
*administer antihypertensive agent
*deliver the fetus
magnesium toxicity
mild : nausea ,flushing headache ,hyporeflexia
moderate :areflexia (dose >10),hypocalcemia ,somnolence
severe :respiratory paralysis (>15) ,cardiac arrest (>25)
magnesium toxicity management
*stop magnesium
*give IV calcium gluconate
women who have had preeclampsia are at
increased Long-term risk for
HTN
Ischemic heart disease
Stroke.
4. Metabolic syndrome.
in order to reduce Ischemic heart disease
the patient is
recommended to maintain a normal body weight ,healthy diet,
regular exercise ,avoidance of smoking and monitoring of BP+
cholesterol.
