pre-eclampsia

Question 1

triad of pre-eclampsia

Answer 1

new onset hypertension (>140/90 after 20 weeks of pregnancy)
proteinuria
oedema

Question 2

potential consequences of pre-eclampsia

Answer 2

eclampsia
fetal complications
liver involvements
haemorrhage
cardiac failure

Question 3

features of severe pre-eclampsia

Answer 3

hypertension (>160/110)
proteinuria ++/+++
headache
visual disturbance
papilloedema
RUQ/epigastric pain
hyperreflexia
platelet count reduced

Question 4

high risk factors for pre-eclampsia

Answer 4

hypertensive disease in previous pregnancy
chronic kidney disease
autoimmune disease, sle, antiphospholipid
type 1or 2 diabetes
chronic hypertension

Question 5

management to reduce the risk of hypertensive disorders in pregnancy

Answer 5

aspirin 75-150mg from 12 weeks till birth

Question 6

management of pre-eclampsia

Answer 6

arrange emergency secondary care assessment of any woman that pre-eclampsia is suspected
oral labetalol (nifedipine if asthmatic)
deliver baby

Question 7

what is eclampsia

Answer 7

development of seizures in association with pre-eclampsia

Question 8

management of eclampsia

Answer 8

magnesium sulphate
- IV bolus of 4g over 5-10 minutes then infusion 1g/hour k
urine output, reflexes, resp rate and oxygen sats monitored
calcium gluconate given if resp depression occurs