Preeclampsia ( Hypertension During Pregnancy ) Flashcards
1
Q
What is Preeclampsia?
A
- Is a condition that causes high blood pressure during pregnancy and after labour.
2
Q
What are the 4 categories of high blood pressure during pregnancy?
A
- Chronic hypertension
- Preeclampsia superimposed chronic hypertension
- Gestational hypertension
- Preeclampsia-eclampsia
3
Q
What are Preeclampsia criteria?
A
- SBP : > 140 and DBP : < 90
- Proteinuria
4
Q
Work up?
A
- CBC
- LFT
- BUN
- BMP
- Uric acid
- PT/PTT
- Fibrinogen
5
Q
Symptoms of preeclampsia?
A
- Headache that is frontal
- Throbbing
- Visual disturbances ( such as scotomata )
- Epigastric pain
- Edema may be a sign as well
6
Q
Differential diagnosis?
A
- Diabetes mellitus and pregnancy
- Antithrombin deficiency
- Cushing syndrome
- Graves disease
- Eclampsia
7
Q
Treatment?
A
- In general, the mother and the fetus should be closely monitored.
8
Q
Mild Preeclampsia treatment?
A
- Preterm and stable —> PO Labetalol and deliver at 37W.
- Term and unstable —> Induction of labor, IV magnesium sulfate and attempt vaginal delivery.
9
Q
Sever Preeclampsia treatment?
A
- 24-34W and stable: PO Labetalol, deliver at 34W
- > 34W and unstable : Indiction of labor, IV magnesium sulfate and IV Labetalol
10
Q
If delivered before 34 weeks what drug we give and why?
A
- We give Betamethasone one day to a week before delivery , to mature the fetus lungs, and prevent Respiratory distress.
11
Q
We does unstable mean during preeclampsia?
A
- Renal failure
- Pulmonary edema
- Hepatic injury
- HELLP
- DIC
