Reviewer #4 Flashcards
3 types of Pregnancy Induced Hypertension
- Gestational
- Pre-eclampsia
- HELLP syndroma
HYPERTENSIVE DISORDERS of PREGNANCY
- Pregnancy induced hypertension
- Transitional hypertension
- Chronic or Pre-existing hypertension
Hypertension after 20 weeks and solved 6
weeks postpartum
Pregnancy Induced Hypertension
Pregnancy Induced Hypertension formerly known as
Toxemia
The cause of up to 30% of maternal deaths
Pre-eclampsia and Eclampsia
Sustained blood pressure elevation of greater than or equal to 140/90 after 20 weeks of pregnancy, Hypertension without edema and proteinuria
Gestational Hypertension
Sustained blood pressure elevation after 20 weeks of gestation in the absence of preexisting hypertension.
Pre-eclampsia
ACE meaning
Angiotensin converting enzyme
Hormone that helps regulate your blood pressure
Aldosterone
Pre-eclampsia triad signs (HEPA)
Hypertension, Edema, Protenuria or Albuminuria
3 types of Pre-eclampsia
- Mild
- Severe
- Eclampsia
Characterized by inability to wear or
tightening of wedding ring.
Mild pre-eclampsia
Meds used for management of Mild pre-eclampsia.
Oxytocin, Magnesium Sulfate
Characterized by visual disturbances,
persistent headache, epigastric pain
Severe Pre-eclampsia
Presence of unexplained TONIC CLONIC SEIZURE in a hypertensive, proteinuric pregnant woman after 20-weeks gestation
Eclampsia
Meds used for treatment of Eclampsia to lower diastolic bp
IV hydralazine and labetalol
Complications in Eclampsia
Intracerebral hemorrhage and or death
Occurs in 5-10% of preeclamptic patients
HELLP syndrome
HELLP syndrome is characterized by
Hemolysis, Elevated liver enzymes. Low platelet count
HELLP occurs more in?
Multigravida
Hypertension between 20-24 weeks of gestation
Transitional Hypertension
Hypertension before 20 weeks and not solved 6
weeks postpartum
Chronic or Pre-existing hypertension
PEACE meaning
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
Magnesium sulfate toxicity
Hypermagnesemia