Hypertension in Pregnancy/Accelerated and Malignant Hypertension

Question 1

Whats a risk factor of pre-eclampsia?

Answer 1

Primary HT

Question 2

Should BP fall during pregnancy?

Answer 2

Yes

Question 3

If BP rising during pregnancy - what do you do?

Answer 3

Check proteinuria

Question 4

If there is no proteinuria?

Answer 4

Gestational hypertension (HT caused by being pregnant)

Question 5

If there is proteinuria?

Answer 5

Pre-eclampsia

Question 6

Treatment for pre-eclampsia?

Answer 6

IV Esmolol (cardio-selective beta blocker)
Normal beta blockers

Question 7

What is the general drug treatment for a hypertensive women PRE-pregnancy?

Answer 7

CCB
Methyldopa
Beta blockers

Question 8

During pregnancy?

Answer 8

Thiazide diuretic and/OR Vasodilating CCB -amlodipine

Question 9

What is accelerated/malignant HT?

Answer 9

Roughly when S is 180 to 200
D is 110 to 130

When is rises rapidly

Question 10

In an emergancy situation with target organ damage due to high BP - treatment?

Answer 10

Reduce MAP by 25% in 1st hour

Want to reach 160/100 by 6 hours

Question 11

When the case is urgent but not emergency level since NO organ damage - treatment?

Answer 11

Intensification of treatment

If patient stopped taking drugs and caused this rise get them back on