htn in pregnancy Flashcards
1
Q
prophylaxis
A
low dose aspirin
2
Q
indications for LDA
A
prev HTN in pregnancy CKD autoimmune disease diabetes chronic htn more than one moderate risk factor
3
Q
moderate risk factors
A
1st pregnancy >40yrs pregnancy interval >10yrs BMI 35+ FH pre-eclampsia multi pregnancy
4
Q
pre-eclampsia
A
new onset htn after 20wks and 1 or more of: proteinuria, maternal organ dysfunction, uteroplacental dysfunction
5
Q
what is considered htn
A
> 140 systolic
or >90 diastolic
6
Q
pre-eclampsia complications
A
eclampsia pulmonary oedema stroke coagulopathy end organ damage placental abruption fetal, IGUR, stillbirth
7
Q
indications for early delivery
A
- inability to control BP despite using 3 medications
- progressive deterioration in LFT, U&E, haemolysis, platelet count
- neurological features: headache, eclampsia
- placental abruption
- doppler abnormalities, CTG
8
Q
severe pre-eclampsia
A
severe htn
progressive derioriaration in lab blood tests
failure of fetal growth/abnormal doppler
9
Q
HELLP
A
haemolysis
elevated liver enzymes
low platelets
10
Q
MgSO4 indications
A
eclampsia
consider if 1+ features of severe pre-eclampsia
11
Q
features of severe pre-eclampsia
A
ongoing/recurring severe headaches visual scotomata nausea/vomiting epigastric pain oliguria + severe htn progressive deterioration blood tests
12
Q
MGSO4 toxicity
A
lethargy muscle weakness urine retention resp distress cardiac arrest
13
Q
MgSO4 monitoting
A
reflexes
resp rate
urine output
