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13 Cards in this Set
- Front
- Back
Definition of HTN
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>140/90 at bed rest on 2 occasions at least 6 hrs apart
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CHRONIC HTN Definition
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Prior to pregnancy OR <20 wks
+/- Protien |
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CHRONIC HTN
GOOD PROGNOSIS |
MILD = <180/110, No end organ damage
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CHRONIC HTN
POOR PROGNOSIS |
MODERATE = >180/110 with end organ damage
Kidney - Creatinine > 1.4 Eyes - retinopathy Heart - LVH |
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CHRONIC HTN
WORST PROGNOSIS |
UNCONTROLLED = >210/120
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PREECLAMPSIA
When does it happen? |
> 20 wks
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MILD PREECLAMPSIA
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>140/90 at >20 wks
Protienuria = >300 mg in 24 hrs OR > 1+ on Dipstick No Sx except possible hemoconcentration |
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SEVERE PREECLAMPSIA
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>160/110 or Severe Protienuria >2.0g in 24 hrs or 2+ or 3+ on Dipstick.
Also - Mild HTN + Protienuria AND Creatinine >1.2 Platelets <100,000 Hemolysis (Increased LDH) Liver Enzymes Elevated (ALT/AST) |
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ECLAMPSIA
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PREECLAMPSIA + Siezures
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GESTATIONAL HTN
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>20 wks
No Protienuria |
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TRANSIENT HTN
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When GESTATIONAL HTN returns to normal Post partum
Increased Risk of HTN later in Life |
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HELLP SYNDROME
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Hemolysis - Shistocytes/LDH
Elevated Liver - ALT/AST Low Platelets - <100,000 |
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Preeclampsia SUPERIMPOSED on Chronic HTN
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1. Chronic HTN exp new onset Protienuria
2. Chronic HTN + Protienuria with change in protien or BP, platelets, or liver enzymes |