Hypertension and Pre-Eclampsia Flashcards

1
Q

After what gestation date does gestational hypertension occur?

A

Post 20 weeks

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2
Q

What is the grading of gestational hypertesnion?

A

Mild: 140-149/90-99 mmHg

Moderate: 150-259/100-109 mmHg

Severe: >160/100mmHg

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3
Q

What is the management of mild gestational hypertension?

A

Regular BP monitoring (twice weekly) and check urine for protein at each visit. Counsel patient on signs of pre-eclampsia.

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4
Q

What is management of moderate gestational hypertension?

A

Labetalol + regular monitoring.

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5
Q

What is the management of severe gestational hypertension?

A

Admit + labetalol + regular monitoring.

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6
Q

What are the potential complications of gestational hypertension?

A

Pre-eclampsia, eclampsia, placental abruption, impaired foetal growth, premature birth.

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7
Q

What are the features of pre-eclampsia?

A

Hypertension (>140/90) and proteinuria).

+/- oedema, headache, visual disturbance, epigastric pain, vomiting, low platelets, raised LFTs

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8
Q

What are the features of HELLP?

A

Haemolysis, elevated liver enzymes, low platelets.

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9
Q

What is the management for all women with pre-eclampsia?

A

ADMIT. Frequent bloods, urine collection, foetal monitoring.

Labetalol if BP >150/100

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10
Q

What is the protocol for delivery in pre-eclampsia?

A

<34 weeks: give steroids, then reassess after 24 hours.

> 34 weeks: delivery

If unstable, deliver ASAP at any age.

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11
Q

What is the management of eclampsia?

A

ABCDE (airway, O2)
Magnesium for seizures
IV labetalol
Monitor fluids

Delivery (usually by LSCS) as soon as stable

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