Pre-eclampsia Flashcards
1
Q
Pre-eclampsia
A
condition affecting the placenta resulting in hypertension, increasing risk for having seizure
2
Q
risks
A
multiple pregnancies
obesity
increasing age
co-morbidities
3
Q
signs
A
new onset of hypertension
oedema
proteinuria
onset 20 weeks gestation
vomiting/nausea epigastric pain vision problems headaches hyper-reflexia
4
Q
investigations
A
BP
bloods
urinalysis
5
Q
management
A
prophylactic:
labetalol
nifedipine if asthmatic
6
Q
complications
A
maternal:
seizures
DIC
HELLP
foetal:
intrauterine growth restriction
pre-term labour
7
Q
management of eclampsia
A
IV magnesium sulphate
Diazepam/phenytoin if not working
monitoring
plan for delivery
8
Q
what can severe pre-eclampsia progress to
A
HELLP syndrome
9
Q
what is the BP threshold
A
135/85
10
Q
what is a management option if diagnosed post 34 weeks
A
same day delivery
