8 HTN Complications

Question 1

BP >/= 140/90
after 20wks aog
no proteinuria

Answer 1

Gestational HTN

Question 2

BP >/= 140/90
>20wks aog
Urine CHON >/= 300mg/24h or protein/crea ratio >/= 0.3

Answer 2

Preeclampsia

Question 3

Preeclampsia with presence of symptoms, pulmonary edema (or evidences of DIC or elevated LT)

Answer 3

Preeclampsia with SF

Question 4

Mngt of PE wo SF

Answer 4

<36wks : conservative, no MgSO4 or BP meds

> 36wks prompt delivery

Question 5

MgSO4 dosages to prevent convulsions

Answer 5

5g LD, 2g/h upto 24h post delivery

Question 6

AntiBP meds

Answer 6

Methyldopa

or

Atenolol/Labetalol

Question 7

Methyldopa is preferred over B blockers since

Answer 7

B-blocking agents are associated w IUGR

Question 8

Use of this dug class is associated w fetal hypocalvaria, RF, oligohydramnios, and even death.

Answer 8

ACEI or ARBs

Question 9

BP target range

Answer 9

DBP bw 90-100 mmHg

Question 10

Prenancy <20wks aog
Sustained HTN
+/- proteinuria

Answer 10

Chronic HTN

Question 11

Chronic HTN
Worsening BP
Worsening Proteinuria

Answer 11

Chronic HTN with Superimposed Preeclampsia

Question 12

Presence of unexplained tonic clonic seizures due to severe diffuse cerebral vasopasm in the setting of sustained HTN at >20w aog +/- edema

Answer 12

Eclampsia