pre_existing_htn_flashcards
When should medications be adjusted for pre-existing hypertension?
Pre-conception.
Which medications should be stopped pre-conception for hypertension?
ACEis, ARBs, thiazides, and thiazide-like diuretics.
What are the first, second, and third-line alternative medications for hypertension pre-conception?
1st line = labetalol, 2nd line = nifedipine, 3rd line = methyldopa.
Why should ACEis and ARBs be avoided during pregnancy?
Increased chance of congenital abnormalities.
What conservative advice should be given antenatally for hypertension management?
Advice regarding weight management, exercise, healthy eating, and salt intake.
How frequently should BP be monitored antenatally if hypertension is poorly controlled?
Weekly.
How frequently should BP be monitored antenatally if hypertension is well controlled?
Every 2-4 weeks.
What is the target BP for antenatal management of hypertension?
Less than 135/85 mmHg.
How often should serial growth scans be performed antenatally for hypertension?
Every 4 weeks from 28-36 weeks.
What medications are recommended antenatally for hypertension based on side effect profiles?
Labetalol, nifedipine, or methyldopa.
What is the daily dosage of low-dose aspirin recommended to prevent pre-eclampsia?
75-150 mg once daily from 12 weeks gestation until birth.
When should induction before 37 weeks be avoided during intrapartum care?
If BP is less than 160/110 mmHg.
What is required if BP is greater than 160/110 mmHg during intrapartum care?
Senior input and patient involvement.
How frequently should BP be monitored postnatally for the first 2 days?
Daily.
When should BP be monitored postnatally between day 3 and day 5?
At least once.
