Hypertension And Pregnancy

Front 1

Dx: Mild Pre-Eclampsia

Back 1

3rd trimester BP>140/90 (either), taken on 2 occassions, at least 6 hours apart, accompanied by proteinuria> 300 mg/24 hours, and nondepednent edema (hands/face)

Front 2

Dx: Severe Pre-eclampsia

Back 2

160/110, Progeinuria> 5 g

+ systems involvement
-vision changes
-headache
-oliguira <500 ml/24 hr
-GI: RUQ pain
-elevated liver transaminases (AST/ALT)
-DIC
-thrombocytopenia
-hemolytic anemia
-IUGR

Front 3

A woman with mild range Pre-E BPs, mild-range protein, and ANY associated condition is classified as?

Back 3

Severely Pre-eclamptic

Front 4

Define: HELLP Syndrome

Back 4

Rapidly deteriorating liver function

-Hemolytic anemia
-elevated liver enzymes
-low platelets

Front 5

Tx for pre-eclampsia?

Back 5

Delivery is the only ultimate treatment

Front 6

Define: Chronic Hypertension

Back 6

HTN present before 20 weeks gestation/before conception/more than 6 weeks postpartum

Front 7

2 most common drugs to treat CHTN?

Back 7

-Nifedipine (procardia, CCB)
-Labetalol (Beta blocker)

Front 8

Define: Gestational Hypertension

Back 8

BP 140/90 or greater, 2 incidences 6 hours apart when seated

OR

increase of 30 mmHg above pre-pregnancy systolic BP, or 15 mmHg above pre-pregnancy diastolic BP

Front 9

Define: Superimposed pre-eclampsia

Back 9

CHTN + protein. 1/3 of CHTN develops into superimposed pre-eclampsia

If pt had baseline renal disease, may be a dx of *exacerbation of hypertension

Front 10

Pre-eclampsia pathophysiology?

Back 10

Multi-ssytem vasospasm

Front 11

What drug can be given to protect against maternal seizures in pre-eclapmsia?

Back 11

Magnesium sulfate

Front 12

High BPs in Pre-E pts can be controlled with?

Back 12

Hydralazine