eclampsia

Question 1

what is the key word for eclampsia and preclampsia

Answer 1

vasoconstriction

Question 2

define transient hypertension and treatment

Answer 2

BP >140/>80, not sustained, no urine, no symptoms, no treatment

Question 3

define chronic HTN and treatment

Answer 3

BP >140/>80, sustained (<20wks), no urine, no symptoms, alpha-methyl-dopa/labetalol/hydralazine, closely monitor, more frequent tests, U/A and US

Question 4

Define gestational HTN and treatment

Answer 4

BP >140/>80, sustained (>20wks), no urine, no symptoms, alpha-methyl-dopa/labetalol/hydralazine, closely monitor, more frequent tests, U/A and US…also can progress to preeclampsia

Question 5

define and treat mild preeclampsia

Answer 5

BP >140/>80, sustained (>20wks), protein >300mg/dL, no symptoms, closely monitor, more frequent tests, U/A and US. if term, induce to deliver, if not wait. continually screen for alarm symptoms

Question 6

define and treat severe preeclampsia

Answer 6

BP >160/>110, sustained (>20wks), protein >5g/dL, with severe features (headache, vision changes, right upper quad, increased creatinine, pulmonary edema, decreased platelets, hemolysis, increased LFTs, Magnesium and induction at term.

Question 7

define severe features

Answer 7

headache, vision changes, right upper quad, increased creatinine, pulmonary edema, decreased platelets, hemolysis, increased LFTs

Question 8

define and treat eclampsia

Answer 8

Seizures. deliver via C-section usually.

Question 9

define HELLP and treat

Answer 9

hemolysis, elevated liver and low platelets. mg and C-section

Question 10

what does magnesium do?

Answer 10

prevents seizures.

Question 11

what does mag toxicity look liek

Answer 11

reduced deep tendon reflexes.

Question 12

how to treat mg tox

Answer 12

calcium gluconate