Pre-Eclampsia

Question 1

Pre-Eclampsia risk factors
(high risk list and moderate risk list)

Answer 1

HIGH RISK
chronic htn
htn of pregnancy
t1dm or t2dm
anti-phospholipid
MODERATE RISK
first pregnancy
family history
multiple pregnancy
BMI >35 at booking
10 year gap since last preg
age 40 or more

Question 2

what is prophylaxis tx? (and duration)

Answer 2

Aspirin 75-150mg from week 12 to birth

Question 3

who gets prophylaxis (think risk factors)

Answer 3

those with one high risk factor
or
those with two moderate risk factors

Question 4

cure for pre-eclampsia

Answer 4

birth

Question 5

HTN management in pre-eclampsia

Answer 5

same as pregnancy induced HTN
1st line labetalol
2nd line nifedipine

Question 6

management of eclampsia

Bonus points for when you stop giving it

Answer 6

IV Mg Sulphate

Stop IV Mg 24 hours after last seizure or after birth of beeb

Question 7

at what blood pressure do you admit and observe

Answer 7

sys 160mmHg or more
dia 110mmHg or more