Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
|
What is the definition of hypertension in pregnancy? |
1. >140/90 2. >20 weeks 3. Patient previously normotensive 4. 25% have proteinuria |
|
|
What are the ssx of preeclampsia? |
1. HTN 2. Proteinuria 3. Edema +/- |
|
|
How do you dx preeclampsia? |
1. BP>140/90 2. >20 weeks 3. Previously normal BP |
|
|
What are the dx criteria for severe preeclampsia? |
1. BP>160/110 2. Two readings > 6 hrs apart 3. Proteinuria-->5 g/24 hr urine, 3+ dipstick X2 4. Oliguria <500 cc 5. Cerebral/visual disturbance 6. Abnormal LFTs
|
|
|
How do you tx severe preeclampsia? |
1. Put patient on bed rest |
|
|
What is HELLP syndrome? |
1. Severe preeclampsia |
|
|
What are the ssx of HELLP syndrome? |
1. Hemolysis 2. Elevated liver enzymes 3. Low platelet counts 4. Proteinuria > 0.3 g/24 hour urine 5. >1+ dipstick |
|
|
What is the general incidence of preeclampsia? |
1. 5.8% |
|
|
What is the etiology of preeclampsia? |
1. Unknown 2. Abnormal trophoblastic invasion 3. Alterations in the immune response |
|
|
What are the ssx of eclampsia? |
1. Convulsions/coma 2. 4+ patellar reflexes 3. Minimal BP elevation 4. Proteinuria +/- 5. Edema +/- |
|
|
What are the risk factors for eclampsia? |
1. Multiple gestation 2. Preeclampsia in previous pregnancy 3. Chronic HTN 4. GDM |
|
|
What are the vascular changes that take place in preeclampsia? |
1. Hemoconcentration 2. Vasospasm 3. Contracture of intravascular space 4. Capillary leak/ decreased colloid oncotic pressure 5. Thrombocytopenia 6. Hemolysis |
|
|
What happens to LDH in eclampsia? |
1. Increased concentration in RBCs 2. Increased in serum in hemolysis |
|
|
What hepatic changes occur in eclampsia? |
1. Increased AST/ALT 2. Hyperbilirubinemia 3. Hepatic hemorrhage |
|
|
With what is HELLP syndrome associated? |
1. Placental abruption 2. Renal failure 3. Subcapsular hepatic hematoma 4. Recurrent preeclampsia 5. Preterm delivery 6. Fetal/maternal death |
|
|
What are the neurologic/cerebral problems associated with elcampsia? |
1. Significant cause of maternal mortality--- due to intracranial hemorrhage 2. Temporary blindness 3. Headache 4. Blurred vision 5. Hyperreflexia |
|
|
What renal changes occur in eclampsia? |
1. Vasospasm 2. Increased creatinine 3. Oliguria |
|
|
What happens to GFR and renal blood flow in eclampsia? |
1. Do NOT increase |
|
|
What happens to the fetus in eclampsia? |
1. Decreased uteroplacental blood flow 2. Placental infraction 3. Intrauterine growth restriciton 4. Oligohydramnios 5. Placental abruption |
|
|
What is the only cure for preeclampsia? |
1. Delivery of fetus |
|
|
What are the primary concerns in the tx of preeclampsia? |
1. Safety of mother 2. Delivery of infant not requiring intensive or prolonged neonatal care |
|
|
Upon what factors does the fetal delivery depend? |
1. Severity of disease 2. Gestational age 3. Maternal/fetal status 4. Presence of labor |
|
|
How do you tx HTN in preeclampsia? |
1. Hydralazine 2. Labetalol |
|
|
What is the DOC to prevent seizures in preeclampsia? |
1. MgSO4 |
