PRE-ECLAMPSIA Flashcards

1
Q

Pre-eclampsia is characterised by……

A

Hypertension and Proteinuria

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2
Q

……………….. and ……………. are essential in the monitoring of pre-eclampsia together with the recommended investigations

A

BP monitoring every 4 hours
and
Daily weight of the patient

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3
Q

Target BP in pre-eclampsia

A

Not less than 140/90

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4
Q

Why isn’t the BP lowered below the target in pre-eclampsia

A

It may cause foetal distress due to reduced perfusion

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5
Q

Investigations done in Pre-eclampsia

A

FBC
RBG
LFTs
BUE and creatinine
Urinalysis and Culture
Ultrasound scan
Daily urine protein assesment
Serum uric acid

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6
Q

Signs of mild pre-eclampsia

A

BP of 140/90 to 159/109
Proteinuria of 1+/2+
Pedal edema

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7
Q

Signs of severe pre-eclampsia

A

BP of 160/110 or higher
Proteinuria of 3+/4+
Pedal or generalized edema

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8
Q

Treatment objectives in pre-eclampsia

A

To reduce BP but not less than 140/90
To prolong pregnancy as long as possible
To prevent fœtal distress
To prevent or treat any complications that might arise
To prevent eclampsia

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9
Q

Why is prolonging the pregnancy as long as possible a treatment objective in pre-eclampsia

A

To allow the fœtus to grow and mature for delivery

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10
Q

Patients with pre-eclampsia are advised to lie on their side and not on their backs to prevent…..

A

Supine hypotension or Aortocaval Compression syndrome

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11
Q

At which BP is it necessary to initiate pharmacological management of pre-eclampsia

A

SBP above 150 or DBP above 100 or Symptoms of imminent eclampsia

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12
Q

Pharmacological management of mild pre-eclampsia

A

Methyldopa PO 250-500mg 8-12 hourly max of 2g daily

Nifedipine retard PO 10-40mg 12 hourly

Nifedipine sustained release 30-60mg daily

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13
Q

Medical disorders associated with pre-eclampsia

A

Kidney disorders
Diabètes mellitus
Polycystic ovaries
Chronic hypertension

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