Reviewer #4 Flashcards

1
Q

3 types of Pregnancy Induced Hypertension

A
  1. Gestational
  2. Pre-eclampsia
  3. HELLP syndroma
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2
Q

HYPERTENSIVE DISORDERS of PREGNANCY

A
  1. Pregnancy induced hypertension
  2. Transitional hypertension
  3. Chronic or Pre-existing hypertension
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3
Q

Hypertension after 20 weeks and solved 6
weeks postpartum

A

Pregnancy Induced Hypertension

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4
Q

Pregnancy Induced Hypertension formerly known as

A

Toxemia

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5
Q

The cause of up to 30% of maternal deaths

A

Pre-eclampsia and Eclampsia

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6
Q

Sustained blood pressure elevation of greater than or equal to 140/90 after 20 weeks of pregnancy, Hypertension without edema and proteinuria

A

Gestational Hypertension

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7
Q

Sustained blood pressure elevation after 20 weeks of gestation in the absence of preexisting hypertension.

A

Pre-eclampsia

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8
Q

ACE meaning

A

Angiotensin converting enzyme

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9
Q

Hormone that helps regulate your blood pressure

A

Aldosterone

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10
Q

Pre-eclampsia triad signs (HEPA)

A

Hypertension, Edema, Protenuria or Albuminuria

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11
Q

3 types of Pre-eclampsia

A
  1. Mild
  2. Severe
  3. Eclampsia
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12
Q

Characterized by inability to wear or
tightening of wedding ring.

A

Mild pre-eclampsia

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13
Q

Meds used for management of Mild pre-eclampsia.

A

Oxytocin, Magnesium Sulfate

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14
Q

Characterized by visual disturbances,
persistent headache, epigastric pain

A

Severe Pre-eclampsia

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15
Q

Presence of unexplained TONIC CLONIC SEIZURE in a hypertensive, proteinuric pregnant woman after 20-weeks gestation

A

Eclampsia

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16
Q

Meds used for treatment of Eclampsia to lower diastolic bp

A

IV hydralazine and labetalol

17
Q

Complications in Eclampsia

A

Intracerebral hemorrhage and or death

18
Q

Occurs in 5-10% of preeclamptic patients

A

HELLP syndrome

19
Q

HELLP syndrome is characterized by

A

Hemolysis, Elevated liver enzymes. Low platelet count

20
Q

HELLP occurs more in?

A

Multigravida

21
Q

Hypertension between 20-24 weeks of gestation

A

Transitional Hypertension

22
Q

Hypertension before 20 weeks and not solved 6
weeks postpartum

A

Chronic or Pre-existing hypertension

23
Q

PEACE meaning

A

Promote bedrest
Prevent Convulsions by nursing measures.
Prepare materials at bedside
Ensure adequate protein intake (1g/kg/day).
Antihypertesive drug
Convulsion prevention by Magnesium Sulfate.
Evaluate physical parameters for magnesium
sulfate toxicity

24
Q

Magnesium sulfate toxicity

A

Hypermagnesemia

25
Q

Hypertensive drug

A

Hydralazine (Apresoline)

26
Q

Antidote for hypermagnesemia

A

Calcium Gluconate

27
Q

BURP meaning

A

BP decrease.
Urine output decrease.
RR <12bpm.
Patellar reflex absent

28
Q

First sign of hypermagnesemia

A

Patellar reflex absence