PIH , DIC Flashcards
transient HPN 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.
Preeclampsia
Development of seizure or coma not
attributed to other causes in a preeclamptic woman.
Eclampsia:
HPT in pregnant woman
present before pregnancy
Chronic Hypertension:
Chronic hypertension in association with
preeclampsia.
Chronic HPT with superimposed preeclampsia
MANAGEMENT FOR PIH
Bed rest, left recumbent position
Administer medications (severe)
○ Hydralazine (Apresoline)
○ Labetalol (Normodyne)
Management of Tonic-Clonic seizures
Tonic: last for 20 secs, contraction
i. Maintain patent airway
ii. No tongue depressors
iii. O2 supplement
iv. Side lying position
Clonic: 1 min, contract & relax
i. o2 supplement
ii. Diazepam, or Magnesium sulfate
Postictal: semicomatose, cannot be aroused
except by painful stimuli for 1 to 4 hrs
i. Side lying position
ii. NPO
iii. Close monitoring and possible labor
iv. Check vaginal bleeding q15mins
A cathartic (substance that accelerates
defecation) → reduces edema by
causing shift in fluid from the
extracellular spaces into the intestine.
Magnesium Sulfate (Mag Sulfate)
ANTIDOTE 10ML OF 10% CALCIUM GLUCONATE
● AKA Consumptive Coagulopathy
● An acquired disorder of blood clotting in which the
fibrinogen level falls to below effective limits.
● A serious disorder in which the proteins that control
blood clotting become abnormally active.
DISSEMINATED INTRAVASCULAR COAGULATION
CAUSES
● Abruptio placenta (most common)
● Placental Retention
● PIH
● HELLP Syndrome
NORMAL CLOTTING PROCESS
(1) Bleeding
(2) Formation of seal by platelet in the
(3) Activation of intrinsic & extrinsic clotting factors
(4) Fibrin thread formation
(5) Fibrinolysin formation
(6) Prevention of too much clotting
(7) Release of fibrin degradation products.
PATHOPHYSIOLOGY OF DIC
● Extreme bleeding
● Increase platelet & fibrin formation
● Decrease platelet & fibrin in some parts of the body
● Bleeding
ASSESSMENT
● Spontaneous bleeding
● Oozing, excessive bleeding from venipuncture
site, intravenous access site, or site of insertion of
urinary catheter.
MANAGEMENT
When the insult was a complication of pregnancy
such as premature separation of the placenta,
ending the pregnancy by delivering the fetus and
placenta is part of the answer.
