OB/GYN Flashcards
pregnancy-induced HTN < 20 wga
molar pregnancy (gestational trophoblastic disease)
molar pregnancy (gestational trophoblastic disease) sx
vaginal bleeding, hyperemesis, abdominal pain
molar pregnancy (gestational trophoblastic disease) beta-hCG
abnormally high
US: excessive in size, many lucent areas interspersed w/brighter areas
molar pregnancy (gestational trophoblastic disease)
molar pregnancy (gestational trophoblastic disease) sx
urgent OB/GYN cs
HELLP syndrome
hemolysis, elevated liver enzymes, and low platelets
a pt w/eclampsia or HELLP must be
> 20 wga
respiratory parameter changes in pregnancy
TV increases, FRC decreases (2/2 diaphragmatic elevation) - but RR doesn’t change
definition of preeclampsia
pregnancy-induced HTN > 20 wga + proteinuria
methylergonovine mechanism
uterotonic
oxytoxin mechanism
uterotonic
dysfunctional uterine bleeding: treatment
unstable: IV estrogen, TXA
stable: OCP
Haldol in pregnancy?
prefer not to, especially first trimester
Benadryl in pregnancy?
yes
lithium in pregnancy?
no
labetalol dosing
10-20 mg IV > 20-80 mg IV q10-30m, max 300 mg
gtt 1-2 mg/min
mag dosing in ecclampsia
4-6 mg IV over 20-30m > 1-2 g/hr gtt
goal level 5-9
options for BP control in preeclampsia
labetalol, Cardene
hypermagnesemic? give
calcium gluconate
