Preeclampsia Flashcards Preview

Year2 Repro exam II > Preeclampsia > Flashcards

Flashcards in Preeclampsia Deck (29):
1

17 y.o 38 weeks feeling dizzy with edema and HTN
+ 24 urine protein collection
1/4 DTRs b/l
platelets down
next move?

induce labor since she is term and has neuro Sx
Tx with cytotec for cervical ripening

2

why do you get edema with pregnancy

uterus pushes on inferior vena cava

3

what is cytotec

misoprostel that causes release of PG

4

Mg Sulfate used for what in pregnancy

seizure prophylaxis

5

what to give in preecclampsia for high BP

hydralazine

6

what to Tx postpartum hemorrhage from preeclampsia

oxytocin
hemabate

7

why not give methergine in preclamptic patient who delivered

causes increase in BP

8

leading cause maternal and prenatal morbidity and mortality WW

preeclampsia

9

risk factors for increased risk preeclampsia

nulliparity
age extremes
chornic HTN
black race
high BMI
DM
FMH preeclampsia
hydatidiform mole

10

Dx of preeclampsia

>140 or DBP >90 on 2 occasions, after 20 weeks gestation
>160 or DBP >110 confirmation in minutes
and
proteinuria >0.3 grams or protein/Cr ratio >0.3
(dipstick 1+)

11

what are indications of severe preeclapmsia disease

Sx CNS
hepatic abnormality
severe BP elevation

12

patient with HTN but no proteinuria... what other signs suggest preeclampsia

low platelets
serum Cr >1.1
liver enzymes at least 2x
pulmonary edema
cerebral of visual Sx

13

mild preeclampsia

BP on 2 occsasions was elevated
or had proteinuria
no end organ damage

14

early onset preeclampsia

<34 weeks

15

late onset preeclampsia

>34 weeks

16

indications for delivery in preeclampsia

nonreassuring fetal heart status
ruptured membrane
uncontrollable BP
oligohydramnios
severe growth restriciton
oliguria
pulm edema
shortness of breath or chest pain with O2<94% on RA
persistent HA
RUQ tenderness (liver)
development of HELLP

17

what should Cr levels do in pregnancy

go down

18

maternal complications preeclampsia

placental abruption
acute renal failure
cerebral hemorrhage
hepatic failure or rupture
pulm edema
DIC
progression to eclampsia

19

begining signs of HELLP

HTN and preeclampsia

20

what anti HTN do you give to severe preeclampsia

labetolol-- only if no CHF< asthma, brady
hydralazine
nifedipine

21

what does nifedipine do in pregnancy

block contractions

22

when do give corticosteroids in preeclamptic patient

when <34 weeks

23

when is delivery indicated in preeclampsia

if severe >34 weeks
want 37 (best)

24

prevention preeclampsia

daily low dose aspirin after 1st trimester
weight loss
increased exercise

25

fetal complcations preeclampsia

prematurity complications
uteroplacental insufficiency
oligohydramnios

26

eclampsia

seizure in face of preeclampsia

27

eclampsia occurs when in pregnancy

antepartum, intrapartum and postpartum

28

common presenting Sx of eclampsia in post partum pregnancy

HA, SOB and blurry vision

29

tx eclampsia

ABCs
Tx seizures with only Mg SO4 IV
control BP
STABILIZE mother!!!
delvier fetus
post partum control