HYPERTENSIVE DISORDER Flashcards
transient hypertension of pregnancy.
Development of HPN after 20 weeks of pregnancy in a previously
normotensive woman without proteinuria or other systemic findings
gestational hypertension
Development of HPN and proteinuria in a previously
normotensive woman after 20 weeks of gestation or in the early
postpartum period. Also termed as PIH. Formally Toxemia.
preeclampsia
Development of seizure or coma not attributed to other
causes in a preeclamptic woman.
eclampsia
Hypertension in a pregnant woman present before pregnancy
chronic hypertension
Chronic hypertension in association with preeclampsia
chronic HTN with superimposed preeclampsia
chronic, gestational BP
140/90
pre eclampsia and chronic with superimposed BP
140/90 or 160/110
eclampsia BP
160/110
when does gestational, chornic with superimposed, and eclampsia develop?
20 week AOG, 2 weeks post partum
proteinuria occurs with?
pre-eclampsia, chronic with superimposed, and eclampsia
peripheral edema occurs with?
pre-eclampsia and chronic with superimposed
epigastric pain and hyperreflexia occurs with?
pre-eclampsia and eclampsia
what are the prescribed med for mild preeclampsia?
none
*If the pregnancy is greater than 37 weeks = ??
labor can be induced or CS delivery
If the pregnancy is less than 37 wks = ??
initiate interventions to allow the fetus to come to term
if symptoms persist or worsen and fetus is compromised = ??
delivery (NSD or CS) is necessary!
- needs a diet moderate to a high in ___ and moderate in ___ to compensate for the protein
she is losing in urine
protein; sodium
medications to prevent eclampsia
hydralazine (apresoline), labetalol (normodyne)
seizures that last for 20 secs, contraction
tonic
seizures that last for 1 min, contract and relax
clonic
intervention for tonic seizure
- maintain patent airway
- no tongue depressors
- O2
- side lying
interventions for clonic seizures
- O2
- diazepam, magnesium sulfate
- also known as semicomatose
- cannot be aroused unless painful for 1-4 hours
postictal
intervention for postictal
- side lying
- NPO
- close monitoring, possible labor
- check for vaginal bleeding q15 mins
hypotensive drugs given
hydralazine (apresoline), labetalol (normodyne)
-Drug of choice
* A cathartic, reduces edema by causing shift
in fluid from the extracellular spaces into
the intestine.
*A central nervous system depressant action
(it blocks peripheral neuromuscular
transmissions) which lessens the possibility
of seizures.
magnesium sulfate
dose of mag sul
- loading dose 10 grams deep IM for 15-30 mins
- IV drop 1 gram/hr (1gm/100 ml dextrose)
magsul toxicity
- decreased UO
- depressed respirations
- reduced consciousness
- decreased deep tendon reflexes
long term effect of mag sul
osteoporosis
antidote for magnesium sulfate
10 ml of 10% calcium gluconate
