CH 9 MEDICAL CONDITIONS Flashcards
What med should be administered prophylactically to inhibit uterine contractions
Tocolytics
What is hyperemisis gravidarum
Excessive n/v possibly related to elevated hCG levels that is prolonged past 12 weeks gestation and results in a 50% weight loss from prepregnancy
It may be assoc with altered thyroid function
There is a risk for fetus intrauterine growth restriction ( IUGR) or preterm labor if the condition persists
What are risk factors for hyperemisis gravidarum
Maternal age younger than 20 Hx of migraines Obesity 1st pregnancy Multi fetal gestation Gestational trophoblastic disease or fetus with chromosomal anomaly Psychosocial issues and high levels of emotional stress Transient hyperthyroidism
What Meds can be used cautiously for uncontrollable n/v during pregnancy
Ondasetron ( zofran)
Metoclopramide ( reglan)
What is iron deficiency anemia
It occurs during pregnancy due to inadequacy in maternal iron stores and consuming insufficient amounts of dietary iron
What are risk factors for iron deficiency anemia
Less than 2 yrs between pregnancies
Heavy menses
Diet low in iron
What is subjective data for the condition iron deficiency anemia
Fatigue, irritability, headache, SOB with exertion, palpitations, craving unusual food (pica)
What is iron dextran (Imferon)
It is used in the tx of iron deficiency anemia when oral iron supplements cannot be tolerated by the client who is pregnant
When does gestational HTN begin
After the 20th week of pregnancy
What is mild preeclampsia
Mild preeclampsia Is GH with the addition of proteinuria of greater than 1+. Report of headaches may or may not occur with episodes of irritability. Edema may be present
What is severe preeclampsia
BP higher than 160/90 Hyperreflexia with possible ankle clonus
Proteinuria greater than 3+ peripheral edema
Oliguria. Hepatic dysfunction
Elevated serum creatinine greater than 1.2
Cerebral or visual disturbances epigastric and RUQ pain
Thrombocytopenia
What is eclampsia
Severe preeclampsia symptoms along with the onset of seizure activity or coma. It is usually preceded by a headache severe epigastric pain hyperreflexia and hemoconcentrations, which are warning sign s of possible convulsions
Name a anticonvulsant medication
Magnesium sulfate, it is the med of choice for prophylaxis or tx to lower BP and depress the CNS
What are nursing considerations for a person receiving magnesium sulfate
Monitor BP, pulse,RR, deep tendon reflexes, LOC, ordinary output, presence of headaches, visual disturbances, epigastric pain, uterine contractions and FHR and activity
What are signs of magnesium toxicity
Absence of patellar deep tendon reflexes Irons output less than 30 ml/ hr Respiration so less than 12 Decreased LOC CARDIAC DYSRHYTHMIAS
