Clinical 10 HTN Disorders

Question 1

Types of HTN Disorders

Answer 1

Pre-eclampsia
Eclampsia
Chronic HTN
Chronic HTN with superimposed pre- eclampsia
Gestational HTN

Question 2

Pre-eclampsia

Answer 2

Hypertension
Proteinuria
Edema

Question 3

Risk Factors for Preeclampsia

Answer 3

Nulliparity
Maternal Age (less than 20 or 35+)
Family HX
Hydatidiformmole
Chronic HTN
Diabetes
Renal Disease
Multiple Gestation

Question 4

Maternal findings of Pre-eclampsia

Answer 4

HTN, Weight gain, proteinuria, hyper-reflexia, headaches, epigastric pain, visual changes

Question 5

Maternal Sequelae of Pre-eclampsia

Answer 5

Placental abruption
DIC
Renal Failure
Hepatic Failure
CNS hemorrhage and stroke

Question 6

Fetal Sequelae of Pre-eclampsia

Answer 6

IUGR
Prematurity
Acture and Chronic fetal distress

Question 7

Pre-eclampsia Types

Answer 7

Mild pre-eclampsia
Severe Preeclampsia
HELLP Syndrome

Question 8

Mild Pre-eclampsia

Answer 8

BP>140/90
Proteinuria >0.3gm/24 hr
Mild edema

Question 9

Severe Pre-eclampsia

Answer 9

BP> 160/110
Proteinuria?5 gm/24 hr
Oliguria <500 ml/24 hr
Visual Changes
Pulmonary Edema
Epigastric Pain
Elevated Liver Enzymes
Thromobocytopenia

Question 10

HELLP Syndrome

Answer 10

Hemolysis
Elevated Liver enzymes
Low platelets

Question 11

Eclampsia

Answer 11

Pre-eclampsia associated with convlusions

Question 12

Treatment of mild pre-eclampsia

Answer 12

Rest and observation (assure fetal well being)

Deliver if 38 wks gestation, progression of signs/symptoms, evidence of fetal compromise

Question 13

Treatment of severe Pre-eclampsia

Answer 13

Remain hospitalized until delivery
After 32 weeks gestation: stabilize and deliver
Before 32 weeks festation: bedrest, control BP, steroids for lung maturation

Question 14

Intrapartum Management

Answer 14

Seizure prophylaxis: IV Magnesium Sulfate (direct antagonist to calcium)
Antihypertensive treatment: IV labetalol