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13 Cards in this Set
- Front
- Back
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transient HTN
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goes away
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PIH
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any hypertensive state caused by pregnancy
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preeclampsia
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- 2nd & 3rd trimester (hydatiform mold if < 2nd & 3rd)
- s/s: seeing spots, HA, ab pain - vasospasm, multi-organ profusion problems - untreated -> maternal/fetal death - cure: deliver |
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etiology
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imbalance btw prostacycline/thromboxan in the placenta and endothelial damage
- full body edema - SGA fetus |
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vascular changes
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- loss of resistance in angiotensin II
- increase BP - loss of normal vasodilation - maternal vasospasm (decrease placental perfusion) |
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renal change
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- decreased renal perfusion
- decreased urine output - sodium retention |
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classic CM
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HTN, proteinuria, edema
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Tx (mild & severe)
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mild: bed rest, daily weight, labs, fetal monitoring
sever: MgSO4, antihypertensives, labs, delivery |
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nursing care (mild & severe)
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mild: bed rest left side, diet, monitor fetal statu
severe: bed rest, anticovulsant med, fluid replacement, corticosteroids |
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chronic HTN
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before 20W, persistant 42D after birth
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chronic HTN w/superimposed preeclampsia
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- elevated BP
- symptoms of preeclampsia - proteinuria - upper body edema |
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gestational HTN
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- elevated BP
- occurs for first time in pregnancy - no sign of proteinuria |
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HELLP
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- hemolysis
- elevated - liver enzymes - low - platelets |
