Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Jason's MD3 Women's > Hypertension In Preg > Flashcards

Hypertension In Preg Flashcards

1
Q

Preeclampsia is?

A 
Syndromic
Pregnancy induced
HTN
Proteinuria
Generalized oedema
Multi system dysfunctions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Preg HTN defined as?

A

> 140/90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Preeclampsia definition

A

HTN - >140/90 of 170/110
Proteinuria >300mg/24h
Generalised oedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 most important causes of proteinuria

A

Artifact-leukoruria from cervix
UTI
Preeclampsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How to ask about preeclampsia to family?

A

Any difference in appearance? (Swollen face)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How to manage preeclampsia?

A

Premature delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How to cure preeclampsia?

A

Deliver the baby and placenta!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Preeclampsia affects What system?

A 
Cardiovascular
Renal
Haematologic all
Neurological
Hepatic
Uteroplacental
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Symptoms for preeclampsia occurs?

A

LATE.

Very asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Predisposing to preeclampsia?

A 
FHx
Age extremes
First preg
New paternity
period of Sexual cohabitation (more antigen exposure)
Assisted reproduction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Medical comorbidities that increase preeclampsia?

A 
Chronic HTN
SLE
DM2
Disease
Thrombophilias
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Predisposing pregnancy conditions for preeclampsia?

A 
Size of placenta from
Multiple preg
Gestational DM2
Trophoblasts disease
Hydrops Fetalis

Trisomy13

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Indicators of severe preeclampsia?

A 
extreme HTN
Headache
Papillon edema
Visual disturbance
Upper Abdo pain
Hyper reflexes
Oliguria
Proteinuria
Thrombocytopaenia
Pulmonary oedema
Elevated liver enzymes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Management of HTN?

A 
Admit
Stabilize
BP control
Seizure prophylaxis
Fluids
Fetal welfare surveillance
Multidisciplinary care
DELIVERY
Third stage management (drug to minimize bleeding - no longer ergometrine, now: -Syntocinon-)
Postpartum observation
Followup
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pre-eclampsia is cured when?

A

AFTER delivery. Not AT delivery, need postpartum observation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Post partum observation indicators

A

Look at urine output. If increasing:

Kidneys working, recovering,

17
Q

Preeclampsia HTN management pharma?

A

Labetalol

Nifedipine

18
Q

Neuronal stabilization in Preeclampsia pharma?

A

MgS04 syringe pump 4g bolus over 15 minutes
2g/HR maintenance
Monitor reflexes, Resp, serum levels, urine output
Continue 24 hours postpartum
The MAGPIE trial.

19
Q

Antidote for MgS04 if the woman Preeclampsia stops breathing

A

CaCl2. 10ml, 10%

20
Q

MgS04 effects in preterm fetus?

A

Less likely to have cerebral palsy
Will give at less than 30 weeks gestation, close to 4 hours before birth or within 24 hours of expected birth
Give to mother

21
Q

Preeclampsia delivery favoring vaginal?

A 
Multiparous mother
Cerebral BP
Ripe cervix
Mature fetus
Cephalic presentation
22
Q

Preeclampsia delivery route favoring c section

A 
Miparous mother
Unstable BP
Cerebral irritability
Un ripe cervix
Immature fetus
Breech
IUGR
Abnormal Doppler
23
Q

Most common reason for grand-mal seizure in preg?

A

Epilepsy

24
Q

How to distinguish epilepsy from Preeclampsia?

A

Bracelet of epileptic woman
Look in handbag for Meds
Gum hypertrophy

25
Q

Version of Preeclampsia affecting liver/haematologic all

A

HELLP syndrome

Haemolysis elevated Liver Enzymes Low Platelet Count

26
Q

DDx HTN in preg?

A

Chronic HTN
Endocrine: phaeo
Cushing
Renal htn

27
Q

Only treatment to prevent Preeclampsia?

A

Low dose Aspirin

CLASP Trial

28
Q

Theory of Preeclampsia?

A

Poor placenta growth into the decidua, the arterioles still have smooth muscle, can contract raising BP

Jason's MD3 Women's (58 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions