Hypertensions

Question 1

Defintion of PIH

Answer 1

A BP of >140/90, not accompanied by the presence of proteinuria in a pregnant women of over 20 weeks gestation

Question 2

Definition of Essential/Chronic Hypertension

Answer 2

A BP of >140/90 in a non-pregnant person

Question 3

Diagnosis of Hypertension

Answer 3

• A Diastolic BP of >90 more than twice
• A systolic BP of 160 once
• A systolic BP of >140 more than once
• A rise in diastolic BP by 15-20mmHg from booking BP

Question 4

Pre-disposing factors

Answer 4

• Prims
• Short stature
• Large BMI
• Older maternal age
• medical conditions
• Multiple pregnancy

Question 5

Treatment

Answer 5

• Alpha blockers
• Beta blockers
• Labetalol
• Aspirin
• Hydrazine
• Nifidapine

Question 6

Care

Answer 6

Mild (140/90): - Bp 1x weekly, urinalysis at each visit, bloods as per standard protocol
Moderate (150/100): - Bp 2x weekly, labetalol, urinalysis at each visit, bloods 1x ans then routine care
Severe (160/110): - admit until 159/109, labetalol, bp 4x daily, urinalysis 1x daily, bloods weekly