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21 Cards in this Set
- Front
- Back
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Severe Preeclampsia symptoms: Hypertension BP ≥ ?/?, Proteinuria ≥ ?g in a 24hr urine test or ≥ ?+ on a urine dipstick. Oliguria ≤ ?-? ml/24hr or < ?ml/hr. Hypreflexia of +? possibly with clonus which is an increase in ? irritability.
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≥160/110,
≥5g, ≥ 3+, <400-500ml/24hr or < 30ml/hr, +4, CNS |
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Severe Preeclampsia Symptoms continued: Cerebral and visual disturbances such as ?, ?, ?(blind spot). Pulomonary ? or ?, Epigastric or ? upper quadrant pain, PIH can also decrease blood clotting which is called ? 150-400 is a normal range for platelets. >? should be reported to the physician > ? is a problem.
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HA, blurred vision, Scotomata,
edema or cyanosis, right(liver), Thrombocytopenia, 150, 100 |
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When testing for hyperreflexia with a reflex hammer the ? end is for testing the patellar joint and the ? end is for testing brachial relfexes.
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square,
pointy |
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If the pt suffers with eclampsia we know that she is having ? from PIH. We now that there will be periods of ? in mom and fetus do to these.
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seizures,
apnea/hypoxia |
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With eclampsia there is risk for ? due to relaxation of the
gastro esophageal sphincter during pregnancy. Other risk factors include cerebral vascular ?/?, cerebral ?, anoxia, coma, and possible maternal ? |
aspiration,
accident/stroke, edema, death |
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Eclampsia should be preventable if ? is recognized in early stages. If Eclampsia does occur we should turn them onto their ? the medicine that we can give is ? The antidote to magnesium overdose is ?
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preeclampsia,
side, magnesium sulphate, calcium gluconate |
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Eclampsia precautions: ? room, ? section of the unit, keep the ? closed, ? side rails, keep the bed in the ? position. Have ? and ? readily available, dim the ?'s, block incoming ?'s and restrict ?s
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private, quiet,
door, pad, lowest, O2, suction, light, phone calls, visitors |
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Seizure care in the OB is considered an ? It is associated with cerebral ?, ? placenta, severe fetal ?, and ?
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EMERGENCY,
hemorrhage, abruptio, hypoxia, death |
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If you witness a pt with eclampsia you should ? in the room, call for ?, attempt to turn woman on her ?, Note the ? and ? of the seizure, maintain the ?, the airway may require ?, ? is the leading cause of maternal morbidity. We should expect to administer a bolus via IV push of ?, if this is not effective then expect ? to be ordered. The antidote for mag overdose is ? the antidote for valium overdose is ?
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stay, help, side,
time, sequence, airway, suctioning, aspiration, mag sulfate, valium, calcium gluconate, Flumazenil(Romazicon) |
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The only cure for PIH is ? Preventative therapeutic measures for PIH include early ? so we need to now the pts baseline ?
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delivery of the baby,
dx, BP |
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Therapeutic home management of PIH should include check BP while in a ? postion and the cuff should be on the ? arm. When the pt is resting they should lay in a lateral position on their ? side whenever possible to increase ? The pt should check their ? daily looking for rapid gains.
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sitting,
same, left, perfusion, weight |
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More therapeutic measures to be taken at home to lower risk of PIH problems: Fetal surveillance should include weekly ?, ?, and daily ? counts and a ? profile.
A goal for daily kick counts is > ? movements in 30 min ? time a day or > ? movement per day. |
NST, US, kick, biophysical,
3, 3, 10 |
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More therapeutic measures to reduce complications of PIH: Increase in ? visits to 2 time per week, and take ? medications.
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office,
antihypertensive |
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The number rating scale for Assessment of Edema is-
Minimal edema of lower extremities is ? Marked edema of lower extremities is ? Edema of lower extremities, face, hands and sacral area is ? Generalized massive edema that includes ascities is ? |
1+,
2+ 3+ 4+ |
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Mag sulfate is not used to decrease BP it is used to prevent ?
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seizures
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Deep tendon reflex rating scale goes from ?-? with absent reflex =?, hypoactive reflex=?, Normal reflex= ?, Brisker than average= ?, and Hyperactive reflex with possible clonus present = ?
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0-+4,
0, +1, +2, +3, +4 |
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Clonus assessment: Support the ?, Dorsiflex the ? and hold the stretch, if there is no movement this is ?, if there is rapid rhythmic movement this indicates ? if there are 2 movements this is mild then rate it a ?, moderate is ?-? movements and severe is > ? movements.
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leg, foot,
normal, hyperreflexia, 2, 3-5, 6 |
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If the pt is preeclamptic in the hospital we will restrict her ? put her in a ? room, monitor her ? along with fetal ?, check her daily ?, if we are monitoring I&O's we may require a ? especially when on mag sulfate which means we will monitor ? sounds and include a ? assessment, check the urine for ? We will also check ? and ? relfexes.
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activity, quiet,
BP, surveillance, weight, foley catheter, breath, edema, protein, patellar, brachial |
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therapeutic management of PIH in the hospital continued: after we check patellar and brachial reflexes we will check for ? We can assess subjective symptoms of PIH like ?, visual ?'s, and ? pain.
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clonus,
HA, disturbances, epigastric |
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The goal of giving antihypertensive meds to a PIH pt is to keep the diastolic BP at < ?mmHg to decrease risk of ? bleed. The med of choice is ? , others include ?,?,? We should also be checking her ?'s
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100,
intracranial, labetalol, Hydralazine, Normoadyne, Procardia, labs |
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Magnesium sulfate is classified as a ? it can decrease the chance of ?'s and the strength of ?'s which can also help to prevent preterm labor. The loading dose of Mag Sulfate is ?g over ? min, then continue with ?-? g/hr using a ? The mag as run as an ? The therapeutic levels of Mag sulfate is between ?-?mg/dl, greater than ? can result in ? and ? arrest.
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anticonvulsant,
seizures, contractions, 4g, 20 min, 1-3g/hr, PUMP, IVPB, 4-8mg/dl, >8, respiratory depression, cardiac |
