Pre-eclampsia Flashcards
Pre-eclampsia is____
1- increased BP
2- Proteinurea
3- edema
after the 20th week
IF MOM’S BASELINE BP IS UNKNOWN, THEN____ IS considered to be mild pre-eclampsia
140/ 90
S/S:
sudden weight____
face and hands___
head-___
____ vision
_____ deep tendon reflexes
and they will develop clonus. what is it?
- gain
- swollen
- ache
- blurred
- increased (hyper-reflexia)
- when the muscles repeated contract and relax (muscle spams)
if someone comes in and they’ve gained more than___ pound a week, we’re assuming the worst.
1 pound
if they’ve gained more than 2 pounds in a week, we’re really worried. we’ll check their BP, urine for protein.
If it’s a mild case, how do you treat it?
bed rest as much as possible, and increase protein (they’re leaking protein through their glomerulus. their blood pressure has gotten so high, that it has damaged their glomerulus)
if it’s a severe case, how do you treat it?
sedate the patient to delay seizures
A common drug used for seizure activity is___, but the drug of choice here is ____
valium
magnesium sulfate
why is magnesium sulfate the preferred drug?
it acts as a sedative, and cause muscle relaxation to decrease the chance of the patient having a seizure.
it will also vassodilate which will drop your BP
When magnesium sulfate is administered, we need to check for mag toxicity every___ to___ hours.
1- 2
when we check for mag toxicity, what do these checks include?
- BP
- respirations
- Deep tendon reflexes*
- LOC
- urine output
- check serum magnesium periodically
when someone is getting toxic on mag sulfate, what is the first to go?
deep tendon reflexes
how often should urine output be checked when patient is on mag sulfate?
hourly
what will mag sulfate do to labor?
delay it because the uterus will be relaxed.
can this patient be on mag sulfate AND pitocin at the same time?
yes. the pitocin will force the uterus to contract, while the mag sulfate will keep the patient at bay.
if mag sulfate is still not getting their blood pressure down, what drug will be added to the mix?
hydralazine (apresoline)- a vasodilator
