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22 Cards in this Set
- Front
- Back
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Hyperemesis Gravidum
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excessive nausea and vomiting in pregnancy
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Hyperemesis Gravidum
signs and symptoms |
pernicious vomiting, poor appetite, poor nutritional intake, weight loss, dehydration, electrolyte imbalance, acidosis due to starvation, hypokalemia
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Hyperemesis Gravidum
physical exam |
weigh
tempature, evaluation for dehydration, condition of tongue, abdominal palpation for orgonmegaly, tenderness, bowel sounds, sweet breat, assessment of fetal growth |
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Hyperemesis Gravidum
Labs |
Urine dipstick for ketones, U/A, BUN and electorlytes, Liver function (R/O hep, pancreatitis and cholestasis) TSHa nd T4 R/O thyroid disease
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Hyperemesis Gravidum
treatment |
administer IV fluids, 5% dextrose, NPO with sips until stomach settles, Referral to MD for pharmacological treatment
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PIH
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pregnancy induced hypertension
140/90 |
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Chronic Hypertension
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observed before pregnancy or before 20 weeks gestation >140 systolicor >90 mm Hg diastolic
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Preeclampsia
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B/P >140/90 in a normotensive woman w/ proteninuria > or = 0.3 grams in a 24 urine specimen or >or = to 30 mg /dl or 1+ on a dipstick
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Severe eclampsia
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B/P > or = to 160 mm Hg or >or = to 110 mm Hg diastolic, Protienuria of > 2 grams in 24 hours. 2+/3+ diipstick, seum creatinine increased
platelet <100,000, Hepatic enzyme activity elevated, persistant HA, Epigastric pain, oliguria <400 ML in 24 hours |
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Eclampsia
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presence of seizure in addition to preeclampsia
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Gestational Hypertension
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gestational B/P elevation, >140/90 after 20 weeks gestation was PIH, w/o proteinuria, or abnormal labs returns to normal by 12 weeks pp.
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Preeclampsia Risk Factors
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nulliparity, trophoblastic disease, multiple gestation, prexisting: chronic hypertension, renal disease, pregest. diabetes, family hx of preeclampsia, new partner, african american or asian
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HELLP
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Hemolysis-Elevated Liver enzyme, Low Platelets sydrome
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Hypertensive Labwork
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Urine dipstick, 24 hour urine, Platelet count: if platelet <100,000 order coagulation panel, liver function, renal function; 24 h creatine clearing, total protein, serum cratinine and serum uric acid
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Hypertensive physical exam
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Vitals, Ophthalmic exam; papilledema, A-vvNicking, vessel narrowing, hemorrhagic areas, reflexes
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Hypertensive labs
finding Hemoglobin hematocrit |
Increased, hemoconcentration, from fluid movement to extracellular causing edema
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Hypertensive Labs
Platelet count |
decreased, cause unknown
<100,000 in hypertensive patient is indicative of severe disease |
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Serum uric acid
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increased caused by decreased renal clearance
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Hypertensive Labs
BUN Blood Urea nitrogen |
normal, in mild preeclampsia, increased when preeclampsia causes decrease in renal blood flow
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Hypertensive lab
Creatinine clearance |
decreased; from normal to decreased in mild Preeclampsia, and decreased in sever preeclampsia
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hypertensive labs
liver function tests |
elevated; liver cell damage, may precede subcapsular hemorrhage in the liver. LDH, AST, ALT, indicates severe disease
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Hypertensive Labs
coagulation profile |
fibrinogen low
fibrin spit products present PT prothrombin time, |
