OB complications Flashcards
A patient presents with loss of patellar reflexes, respiratory depression. This is..
magnesium overdose, treat with Calcium gluconate
What are the risks of recurrence of preeclampsia?
5-7%
What are the risks of eclampsia in preeclampsia?
1-2%
What is the definition of preeclampsia?
Proteinuria and BP>140/90
How many cc/kg do you need to produce of urine?
0.5 cc/kg
What are the causes of reversible cortical blindness associated with preeclampsia?
PRES.
At what age do we not expectantly manage preeclampic patients?
34 weeks
What is a potential complication of labetol?
Heart block
What’s should a pregnant woman havin recurrent seizures receive?
Magnesium 4-6mg
What electrolyte abnormality is
Associated with Mg?
Hypocalcemia
What is a complication of preeclampsia
In the liver that must be managed by surgeons?
Sucapular hematoma of liver
What is a common mimic of preeclampsia that presents with elevated liver enzymes?
Acute fatty liver of pregnancy
A patient who had 2 C sections and previa needs manual extraction of the placenta but it seems to be adhered. This is.. (and how do you treat?)
accreta - treat with hysterectomy
How do you differentiate inevitable abortion from incomptent cervix?
incompetent cervix involves no uterine contractions = treat with cerclage or ligature at os
inevitable abortion - suction and curretage
A patient presents ith US showing snow storm appearence. This is..
molar pregnancy
When do you screen for get
Gestational diabetes?
24-28 weeks with glucose tolerance
What are the risk factors for preeclampsia?
Previous disease, chronic disease, multi fetal pregnancy, extreme age, chronic renal disease, anti phospholipid antibody syndrome, vascular disease
What is a therapeutic magnesium level?
4-7
What are the markers of preeclampsia that needs to be managed non - expectantly?
Thrombocytopenia, changing LFTs, eclampsia, persistent CNS symptoms
