8: Hypertensive DOs Of Pregnancy

Question 1

Maternal risks of HTN in pregnancy

Answer 1

MI, death, CVA, Pulm edema, renal failure, liver failure, retinal ischemia, preeclampsia/eclampsia

Question 2

Fetal risks of HTN in pregnancy

Answer 2

Fetal growth restriction, preterm birth, placental abruption, stillbirth, neonatal death, congenital abnlts

Question 3

Stage 1 vs stage 2 HTN

Answer 3

Stage 1: systolic 130-139, diastolic 80-89

Stage 2: systolic 140+, diastolic 90+

Question 4

Hypertensive crisis

Answer 4

Systolic 180+ and/or diastolic 120+

Question 5

Proper BP cuff length

Answer 5

Length 1.5x upper arm circumference

Question 6

Two HTN meds to avoid at all costs in pregnancy and why

Answer 6

ACEI and ARBs -> increased risk of malformations like renal dysgenesis, calvarial hypoplasia, fetal growth restriction

Question 7

Therapeutic value of mag sulfate

Answer 7

4-6 mg/dL

Question 8

What happens with progressively too high of doses of mag sulfate

Answer 8

Loss of patellar reflexes -> respiratory paralysis -> cardiac arrest

Question 9

How long after delivery to continue mag sulfate

Answer 9

24 hrs