PIH Flashcards
vasospasm in the small and large
arteries the causes high BP
GESTATIONAL HYPERTENSION
increased BP with
proteinuria.
PRE ECLAMPSIA
increased BP ,
proteinuria and seizures.
ECLAMPSIA
Liver Damage
HELLP
BP >140/80mmhg that
develops after 20 weeks
AOG .
Might progress to
preeclampsia
Inductions if preferable
after 37 weeks of AOG
GESTATIONAL HYPERTENSION
• High BP without seizures
• +1 proteinuria on urine dip
stick
• > 300 mg in a 24 hour urine
protein collection or 0.3
higher on a urine protein
creatinine ration.
• BP > 140/90 taken on two
occasions, 4 hours apa.
PREECLAMPSIA WITHOUT SEVERE FEATURES
• BP > 160 mmhg in systolic and 110
mmhg diastolic or above in two
occasions with 4 hours apa at bed rest .
• Platelet count less <100,000.
• Elevated liver enzymes above twice the
normal limit
• Crea >1.1 mg
• Pulmona£ edema
• Headache not relieved by medications
• Visual disturbances
PREECLAMPSIA WITH SEVERE FEATURES
• cerebral edema is so acute
and so grand mal
• tonic clonic seizures
• coma
• moality is as high as 20%
• circulato£ collapse
• renal failure
• hypoxia and fetal acidosis
ECLAMPSIA
•
A blood pressure reading
in two occasions of a at
least 140/90 or a rise of 30
mmHg and 15 mmHg
diastolic.
Blood pressure should be
taken on two occasions 4
to 6 hours apa
HYPERTENSION
• BP of 140/90 mmHg
develops for the rst
time during pregnancy,
but there is no
proteinuria and within
12 weeks postpartum
the BP is normal
GESTATIONAL HYPERTENSION
•
BP OF 140/90 that
develops after 20
weeks of gestation
accompanied by
proteinuria (300
mg/24 hours) and
with edema
24 hour urine
collection
PREECLAMPSIA
• All the signs and
symptoms of
preeclampsia
accompanied by
convulsions or
coma that is not
caused by other
conditions
ECLAMPSIA
• Occurs when a
woman having
chronic
hypertension
develops
preeclampsia or
eclampsia during
pregnancy
SUPERIMPOSED
PREECLAMPSIA &
ECLAMPSIA
- ensure compliance to anti-platelet therapy .
- enforce bed rest for Na and urine excretion and resting in
lateral recumbent position to promote adequate uterine
perfusion and prevent supine hypotension syndrome.
*Monitor Anti Platelet erapy
MILD PIH
*Enforce bed rest for sodium and urine excretion
*Resting in lateral recumbent position
*Prevent supine hypotension syndrome
*Visitation restrictions
*Maintaining dim light
SEVERE PIH
In SEVERE PIH
* ____ is the drug of choice .
- monitor signs of magnesium toxicity and ensure
that ______ is the antidote
Magnesium sulfate & calcium gluconate
is a hypertension disorder of pregnancy developing after
20-week gestation and characterized by edema,
hypeension and proteinuria
PRE. ECLAMPSIA
what is the BP of miod eclampsia?
140/90 - Diastolic BP is more
than 100 mm/Hg
what is the BP of miod eclampsia?
140/90 - Diastolic BP is more
than 100 mm/Hg
What is the bp of severe preeclampsia
Diastolic is 110/mmHg or
higher
What is the bp of severe preeclampsia
Diastolic is 110/mmHg or
higher
is an extension of preeclampsia and is
characterized by the client experiencing
seizures
exist once the patient has experienced a
grand mal seizure
ECLAMPSIA
What are the 2 phase of seizures?
Tonic & Clonic Phase
WHAT KIND OF ANTI-HYPERTENSIVE DRUG IS THIS:
Used to prevent and treat convulsions;
- its primay action is to lower the blood pressure
- decreases neuromuscular irritability and depress the nervous system
- is irritating to veins, so the infusion site must be monitored
- is excreted through the kidneys, urine output should be monitored to prevent
toxicity
- is a central ne¡ous depressant, respirato£ status must be monitored
- Depresses deep tendon reexes
Magnesium Sulfate
