Eclampsia Flashcards
what is transient hypertension (tHTN)
anxiety/white coat hypertension
exercise
>140/90
how to handle tHTN
if discovered, relax and recheck
if medicine patient, wait 2wks to recheck
if >20wks, get urinalysis to rule out proteinuria and keep a BP log
what is chronic hypertension (cHTN)
hypertension that predates the pregnancy
how is cHTN defined
> 140/90 before 20wks
how to handle cHTN
control blood pressure with α-methyldopa* - hydralazine or labetalol close follow-up - urinalysis for protein - ultrasound for IUGR
what is gestational hypertension (gHTN)
elevated BP after 20wks in absence of proteinuria or other systemic findings of preeclampsia
what is preeclampsia without severe features
elevated blood pressures >140/90
proteinuria >300mg/dL
what is PEC with severe features
any one:
- severe BP (>160/110)
- severe Proteinuria
- alarm symptoms
features and management of PEC without severe features
BP >140/90
onset after 20wks
proteinuria >300mg/dL
continue pregnancy until 37wks to deliver
features and management of PEC with severe features
any one of:
- BP >160/110
- Cr >1.1 or 2x baseline
- Plt <100
- increase AST or ALT 2x ULN
- RUQ or epigastric pain
- pulmonary edema
- headache or visual disturbance
magnesium and urgent delivery
how is eclampsia defined
seizure activity
how to treat hypertension
labetalol or hydralazine
when is magnesium indicated?
severe preeclampsia and eclampsia
when is magnesium given?
during labor and 24hrs after delivery
how magnesium works
can cause hypotension and relaxation of all nerves
