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Obstetricia > Preclampsia > Flashcards

Preclampsia Flashcards

1
Q

Definición de preclampsia

A

Reducción de la percusión sistémica por vasoespasmo

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2
Q

Momentos de riesgo para preclampsia

A

> 20 SDG
Parto
6 semanas postparto

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3
Q

Presiones en la preclampsia

A

Sistólica sube 30

Diastólica sube 15

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4
Q

Datos clínicos de preclampsia

A

Datos de vasoespasmo
Proteinuria
Dolor abdominal

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5
Q

Definición de eclampsia

A

Preclampsia + Convulsiones o edo. de coma

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6
Q

Etiologías de la preclampsia

A

Placentación

Teorías moleculares

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7
Q

Teoría de placentación

A

Isquemia por sustancias vasoactivas de las vellosidades coriales

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8
Q

Clasificación (4)

A

HTA gestacional
Preclampsia/Eclampsia
HTA crónica
HTA crónica + preclampsia

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9
Q

Tiempo de latencia de la HTA gestacional

A

> 20 SDG a 12 semanas postparto

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10
Q

Característica de la preclampsia/eclampsia

A

HTA + Proteinuria

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11
Q

HTA crónica

A

HTA < SDG 20

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12
Q

HTA crónica + preclampsia

A

HTA crónica + preclampsia > SDG 20

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13
Q

Factores de riesgo preconcepción (3)

A

Preclampsia previa
Síndrome de HELLP
Enfermedad renal previa

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14
Q

Factores de riesgo concepcionales (4)

A

IVUs frecuentes
TA > 95 en segundo trimestre
DM gestacional
Ganancia de peso excesiva

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15
Q

Criterios diagnósticos

A

HTA + proteinuria

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16
Q

Manejo en preclampsia severa

A

Interrupción de embarazo en las primeras 6hrs

17
Q

Cantidad diagnóstica de proteinuria

A

Dos gramos en orina de 24 horas

18
Q

TA para diagnóstico de preclampsia

A

> 160/110

19
Q

Plaquetas en preclampsia

A

< 150k

20
Q

DHL en preclampsia

A

> 600 Ui

21
Q

Síntomas de alarma en preclampsia

A

TA > 185/115

Proteinuria > 5gr

22
Q

Complicaciones maternas (3)

A

Síndrome de HELLP
Hemorragia
Convulsiones

23
Q

Tratamiento en preclampsia severa

A

Cirugía
Reposo lateral izquierdo
250cc cristaloide en 15 minutos

24
Q

Antihipertensivos en preclampsia

A

Labetalol

Hidralazina

Obstetricia (21 decks)

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