Ch. 22 Hypertensive Disorders in Pregnancy Flashcards
1
Q
differential diagnoses of hypertension during pregnancy (4)
A
- gestational hypertension
- chronic hypertension
- preeclampsia
- chronic hypertension with superimposed preeclampsia
2
Q
body systems altered by preeclampsia that the anesthesia provider must pay close attention to
A
- cardiac
- respiratory
- coagulation
- airway - edema could make intubation difficult
3
Q
what is the preferred drug for seizure prophylaxis in preeclampsia?
A
magnesium sulfate
4
Q
at what threshold should maternal BP be treated?
SBP and DBP
A
- SBP > 160 mmHg
- DBP > or equal to 110 mmHg
5
Q
what should the goal BP be when treating maternal HTN?
why this value?
A
- goal: 140/90
- to prevent intracerebral hemorrhage
6
Q
what is the primary coagulation defect in preeclampsia?
A
thrombocytopenia
7
Q
when should a preeclamptic maternal platelet count be checked?
why?
A
- close to epidural placement
- close bc the plt count can drop rapidly
8
Q
what patients is GA preferred over neuraxial technique?
A
- maternal coagulopathy
- severe dehydration
