HTN Disorders of Pregnancy Flashcards
Def = Dx of HTN prior or during the 1st 1/2 of pregnancy
Chronic HTN
What is the BP lower limit for chronic HTN
160/110
What drugs can be used to Tx chronic HTN
Methyldopa
Labetalol
Nifedipine
At what gestational age can a baby be delivered when a mother has chronic HTN
38 wks
What is the Tx for mild HTN
Prenatal visits q 2-4 wks
Weekly visits after 34 wks
When should GDM resolve by
12 wks postpartum
What criteria are needed for a Dx of preeclampsia
HTN
Proteinuria
What are the Sx’s of preeclampsia
Blurred vision
Epigastric/RUQ pain
HA
What are the PE findings when a pt has preeclampsia
Brisk reflexes
Clonus
Edema
What is the Tx for mild preeclampsia
Bed rest if < 37 wks
Induction of cervix (no ripening) if > 37 wks
What is the Tx for severe preeclampsia
Delivery at 34 wks
Give steroid if < 37 wks
What is given as a prophylactic for seizures in a pt with preeclampsia
MgSO4
What is the reversal drug for MgSO4
Ca Gluconate
What are the criteria for eclampsia
HTN
Proteinuria
Seizures
What is the 1st line Tx for eclampsia
MgSO4
What lab findings would be abnormal in a pt with preeclampsia
Increased Hct, AST/ALT, uric acid
Thrombocytopenia
