Pre-eclampsia Flashcards

1
Q

Pre-eclampsia is____

A

1- increased BP

2- Proteinurea

3- edema

after the 20th week

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2
Q

IF MOM’S BASELINE BP IS UNKNOWN, THEN____ IS considered to be mild pre-eclampsia

A

140/ 90

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3
Q

S/S:

sudden weight____

face and hands___

head-___

____ vision

_____ deep tendon reflexes

and they will develop clonus. what is it?

A
  • gain
  • swollen
  • ache
  • blurred
  • increased (hyper-reflexia)
  • when the muscles repeated contract and relax (muscle spams)
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4
Q

if someone comes in and they’ve gained more than___ pound a week, we’re assuming the worst.

A

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.

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5
Q

If it’s a mild case, how do you treat it?

A

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)

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6
Q

if it’s a severe case, how do you treat it?

A

sedate the patient to delay seizures

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7
Q

A common drug used for seizure activity is___, but the drug of choice here is ____

A

valium

magnesium sulfate

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8
Q

why is magnesium sulfate the preferred drug?

A

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

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9
Q

When magnesium sulfate is administered, we need to check for mag toxicity every___ to___ hours.

A

1- 2

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10
Q

when we check for mag toxicity, what do these checks include?

A
  • BP
  • respirations
  • Deep tendon reflexes*
  • LOC
  • urine output
  • check serum magnesium periodically
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11
Q

when someone is getting toxic on mag sulfate, what is the first to go?

A

deep tendon reflexes

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12
Q

how often should urine output be checked when patient is on mag sulfate?

A

hourly

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13
Q

what will mag sulfate do to labor?

A

delay it because the uterus will be relaxed.

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14
Q

can this patient be on mag sulfate AND pitocin at the same time?

A

yes. the pitocin will force the uterus to contract, while the mag sulfate will keep the patient at bay.

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15
Q

if mag sulfate is still not getting their blood pressure down, what drug will be added to the mix?

A

hydralazine (apresoline)- a vasodilator

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16
Q

the only cure for pre-eclampsia is__

A

delivery

17
Q

after delivery, how long is the patient at risk for seizures?

A

48 hours

18
Q

what kind of room do they need?

A
  • a single room,
    quiet environment
    dim the lights ( any kind of stimuli can make them have a seizure)