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22 Cards in this Set
- Front
- Back
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The IV loading dose for Mag sulfate is ?g over 20min.
and IVPB continuous infusion rate of ?-? g/hr via pump. The antidote for Mag sulfate is ? |
4g,
2-3g/hr, calcium gluconate |
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Contraindications for Mag sulfate use include any pt that has a hx of ? damage, heart ?, ? gravis, or impaired ? function.
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myocardial,
block, myesthenia, renal |
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Calcium gluconate is administered at ?g IV over ? minutes repeated every ? prn.
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1g, 3min
hour |
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HELLP syndrom: H-hemolysis, EL- elevated liver enzymes, LP- low platelets syndrome
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hemolysis,
elevated liver enzymes, low platelets syndrome |
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HELLP syndrome is a life threatening variation of ? This syndrome has a higher frequency in older ?-? women and it often occurs at a preterm gestation of ?-? weeks.
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preeclampsia,
white-multiparas, 26-34 weeks |
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As RBC's travel through constricted vessels, causing anemia and changes in RBC morphology ? occurs.
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hemolysis,
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When hepatic blood flow is obstructed by fibrin deposits and hyperbilirubinemia and jaundice may occur we will see labs with ?-? enzymes.
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elevated liver enzymes
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Due to vascular damage resulting from vasospams platelets will aggregate at the site of damage resulting in thrombocytopenia a.k.a. ?
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low platelets
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The most prominent symptom of HELLP syndrome is ? over the ? area.
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RUQ pain,
epigastric |
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Lab changes that we will see in HELLP syndrom include low ? elevated liver enzymes ?,?,? increased ? Renal impairment will elevated ? and ? levels.
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hematocrit,
LDH(105-333), AST(5-40), ALT(7-56), billirubin (>1.0), uric acid, creatinin |
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Coagulation abnormalities of DIC and HELLP syndrome include:
Normal DIC HELLP Platelets 150-400,00 ? < ? Fibrinogen 300-500 ? ? PT 11-13 ? ? PTT 25-45 ? ? FSP <10 >40 U ? |
DIC = decreased, decreased, prolonged, prolonged, ≻40
HELLP= ≺100,000, unchanged, unchanged, unchanged, unchanged |
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Therapeutic management of HELLP syndrome: Avoid palpating the ? it may cause trauma. The pt should be transported carefully to avoid sudden increases in ?-? pressure. We need to make sure there is a ? bed available. We can use the meds ? or ? to manage it. We should use ? replacement to increase reduced Intravascular volume. Consider ?ing the baby if possible
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Liver, intra-abdominal pressure,
ICU, Mag sulfate or Hydralazine, fluid, delivering |
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Therapeutic management of HELLP syndrome for the fetus includes adminstering ?'s to help lung development, and a ? profile can be performed.
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steroids,
biophysical |
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Nursing Dx : Potential for ? activity r/t increased ? irritability.
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seizure,
CNS |
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The most common causes of hemorrhage during the first half of pregnancy are ?, ?, ?
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abortion,
ectopic pregnancy, Gestational Trophoblastic disease |
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The criteria for an abortion of fetus is ≺ ? weeks gestation, ≺ ? g , but the state of MI says ≺ ?g. There are two types of abortion ?-?, and ?
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20,
500g, 400g, spontaneous/miscarriage, induced |
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Spontaneous abortions usually occur during the ? trimester and are usually caused by ? that are not compatible with life, other causes are maternal infection such as ? and ?
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first,
chromosomal abnormalities, herpes, toxoplasmosis |
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Threatened abortion s/s include up to 25% of women experience ? in early pregnancy 50% of these instances end in ? This s/s can progress to ?, ?, ?
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spotting,
abortion, backache, pelvic pressure, cramping |
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Interventions for pts with s/s of threatened abortion include notify the ?, vaginal ? to visualize if fetus is present, Serum ? and ? levels, ? count and ? support.
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physician,
US, hcg, progesterone, pad, psychological |
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An ? abortion can not be stopped the ? ruptures, ? dilates, contractions and bleeding ensue. Interventions= allow natural ? of uterus to occur, there may be ? curretage if it is not complete, if pregnancy is more advanced or bleeding is excessive a ?&? may take place.
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inevitable, membrane,cervix,
evacuation, vacuum, Dilation & Curretage |
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If the mom develops Toxoplasmosis she will most likely not show any signs but the fetus may have ? problems such as problems with the eyes may be present, these are known as ? abnormalities. Neurological abnormalities such as ?, ?, and other ? problems may also be present.
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Intra-uterine growht retardation,
opthalmologic, hydrocephaly, microcephaly, neurological |
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If we suspect aspiration after an eclamptic event we should expect that a chest ? will be ordered and an ? will be drawn and sent to the lab.
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X-ray,
ABG |
