Hypertension in preg Flashcards
1
Q
Why does BP fall during early pregnancy?
A
Vasodilation
-lowest at 22-24 weeks
2
Q
What is pregnancy induced hypertension?
A
High BP that develops in the 2nd half of pregnancy and resolves within 6 weeks of delivery
3
Q
CNS disease related to high BP
A
Eclampsia Hypertensive encephalopathy Intracranial haemorrhage Cerebral Oedema Cortical Blindness Cranial Nerve Palsy
4
Q
Renal disease related to high BP
A
Decreased GFR Proteinuria Increased serum uric acid (also placental ischaemia) Increased creatinine / potassium / urea Oliguria /anuria Acute renal failure acute tubular necrosis renal cortical necrosis
5
Q
Liver disease related to increased BP
A
Epigastric/ RUQ pain
Abnormal liver enzymes
Hepatic capsule rupture
HELLP Syndrome
6
Q
Biggest risk factor for PIH/PET?
A
Previous PET (7X)
7
Q
Test to predict pre-eclampsia?
A
Maternal uterine artery doppler at 20-24 weeks
8
Q
Eclampsia management
A
IV labetalol /hydralazine
For seizures: magnesium sulphate
Post-partum: give aspirin (safe, cheap, thought to help prevent future (pre)eclampsia
9
Q
Protein levels for pre-eclampsia diagnosis
A
> 0.3 g/L
or >0.3g in 24 hours
