Pre, intra and post management of certain conditions Flashcards

1
Q

Intrapartum management of GDM

A

Monitor glucose every hour aiming for between 4 and 7
Use IV insulin or dextrose to correct

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2
Q

Post natal management of GDM

A

If new onset GDM- stop all medications after birth, offer fasting glucose 6 weeks after
If T1DM- put on sliding scale and when starts eating again give pre-pregnancy dose
If T2DM- can resume metformin but avoid others

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3
Q

When have fasting glucose done at 6 weeks post birth with GDM, what are categories

A

Under 6
6.0-6.9
7 or more

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4
Q

If at fasting glucose 6 weeks post GDM it is under 6 what do

A

Low chance of DM so advise on how to avoid DM
Repeat fasting glucose annually

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5
Q

If at fasting glucose 6 weeks post GDM it is 6-6.9 what do

A

At high risk of developing DM so offer lifestyle interventions

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6
Q

If at fasting glucose 6 weeks post GDM it is 7 or more what do

A

Might have T2DM so initiate diagnostic testing

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7
Q

Postnatal management of pre-eclampsia HTN

A

If over 160/100 then have to stay in
If over 150/100 then must be monitored every 2 days
If less than 150/100 checked weekly and weaned off anti-hypertensives
If less 130/80 can stop anti-hypertensives

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8
Q

What determines when to deliver with GDM

A

Managed on lifestyle and no macrosomia- before 40+6
Managed with medication and no complications- 37-38+6
Managed with medications and controlled poorly- before 37

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9
Q

How is glucose managed during birth in T1 and T2DM

A

Variable sliding scale for glucose

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10
Q

Management of epilepsy during labour

A

Take AEDs as normally would

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