OB/GYN - Eclampsia versus pre-eclampsia Flashcards
This condition is carachterized by elevated liver enzymes, low platelets, and HTN.
a. HELLP
b. eclampsia
c. pre-eclampsia
a. HELLP
Though HELLP syndrome is considered a “variant” of eclampsia, HELLP is its own specific category/condition.
Explain the treatment of HELLP syndrome in the pregnant patient?
Pre-hospital care is focused on supporting the ABCs and monitoring.
Hospital based care includes:
- corticosteroids to allow maturation of fetal lungs, allowing for delivery
- blood products including red cells, platelets, and plasma
This condition of the pregnant patient includes hypertension, RUQ pain, swelling of hands/face/feet, proteinuria, and headache/blurred vision.
a. HELLP
b. eclampsia
c. pre-eclampsia
c. pre-eclampsia
This condition of the pregnant patient includes evere headache, vision problems, abdominal pain (RUQ), N/V
Smaller urine output or not urinating very often. May also include seizure activity.
a. HELLP
b. eclampsia
c. pre-eclampsia
b. eclampsia
What blood pressure is considered “severe pre-eclampsia” in the pregnant patient?
160/100 or higher
Fetal mortality increases by ___ with each maternal seizure.
a. 5%
b. 10%
c. 15%
d. 20%
b. 10%
What is the maximum dose of midazolam that can be given to the seizing pregnant patient?
a. 1 mg
b. 2 mg
c. 5 mg
d. 10 mg
d. 10 mg
How often can IV midazolam be repeated in the pregnant patient?
a. 1 min
b. 2 min
c. 3 min
d. 5 min
d. 5 min
In addition to midazolam, what IV medication can be given to the seizing pregnant patient?
Magnesium sulfate
What is the dose of magnesium sulfate for the pregnant patient?
2 mg magnesium sulfate no faster than 1 gm/minute
At what blood pressure must magnesium sulfate be withheld in the seizing pregnant patient?
lower than 130/80 mmHg
