HTN in Pregnancy Flashcards
Defn of HTN
> 140/90
What is the management of gestational HTN
labetalol or nifedipine
Defn of preecclampsia
HTN (>140/90) + proteinura (>300mg/day) + edema
etiology of preecplamsia
multiorgan vasospasm
Hoe preE effects following organs: brain liver kidneys placenta small vessels
brain –> severe HA, seizure, stroke
Liver –> damge, RUQ pain, n/v)
Kidneys –> renal failure, proteinura, edema
placenta –> IUGR, IUFD
small vessels –> thrombocytopenia and DIC
What are RF for preE
nulliparity, multiple gestations, chronic HTN, FH
how is PreE managed?
control HTN with labetalol and nifedipine
seizure ppx with MgSO4 (4g LD + 2g/hr)
WHat is severe preE
HTN > 160/110, proteinuria (>5g/day or 3+) + other complications
**must deliver!!
If pt has preE in 1st trimester, what must you consider
hydatidform mole
What is HELLP syndrome?
Hemolysis (schitocytes, elevated LDH, inc bili)
Elevated LFTs
Low Plts
What is acute fatty liver of pregnancy? How is it managed?
fatty liver + HTN (>140/90) +/- proteinuria
supportive care, txp if necessary
What type of seizures do eclamptic pts have
tonic-clonic (grand mal)
What is the distribution of seizure timinig
1/4 before labor, 1/2 during labor, 1/2 after labor
What is the major side effect of MgSO4
pulm edema
What is the first sign of MgSO4 overdose
DTR decrease
