Gestational Hypertension Flashcards
1
Q
What are the risk factors for hypertensive disorders in pregnancy?
A
- cHTN
- Diabetes
- AMA
- Obesity
- Connective tissue disease
- Thyroid disease
- Multiple gestation
- African American
- Nulliparity
2
Q
Who do you consider to be a candidate for baby ASA to prevent preeclampsia?
A
- Diabetes
- Hx of preeclampsia
- AA and nulliparous
- Obese
- AMA
- Multiple gestation
- cHTN
- Renal disease
- Autoimmune connective tissue disease
- Sickle cell disease
3
Q
How do you define gestational hypertension?
A
-SBP >140
-DBP >90
on 2 occasiona >4 hours apart without proteinuria or other abnormal lab values
4
Q
What is severe gHTN?
A
- SBP>160
- DBP>110
5
Q
How do you manage a patient with severe gestational hypertension?
A
- Acute IV antihypertensive
- Maintain in house
- Start maintenance antihypertensive
- Administer steroids and deliver at 34 weeks
6
Q
What are the pregnancy risks with gestational hypertension?
A
- Progression to severe preeclampsia and eclampsia
- Increased coagulopathy
- Increased preterm delivery
- Increased c-section
- Kidney and liver injury
- Seizures/stroke
- Pulmonary edema
