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;
11 Cards in this Set
- Front
- Back
What is the difference between preeclampsia and gestational hypertension?
|
preeclampsia includes proteinuria
|
|
What pathology can come from preeclampsia?
|
abnormal placental site invasion of the myometrium
circulating toxins endothelial dysfunction |
|
How does altered vascular endothelium cause pathology?
|
capillary leak casues altered response to vassopressors and decreased vasodilators, causes increased PVR, HRN
decreased GFR causes proteinuria capillary leak increases hydrostatic pressure |
|
What are the systemic manifestations of preeclampsia?
|
scotomata, severe headache, blurred vision
hemolysis RUQ pain, nausea thrombocytopenia oliguria pulmonary edema fetal growth restriction eclampsia or CVA |
|
What are the risk factors for preeclampsia?
|
older, first baby, diabetes, prior history
|
|
What are the potential complications of preeclampsia?
|
HTN crisis, abruption, eclampsia
|
|
How do you manage preeclampsia with meds acutely?
|
labetalol, hydralazine, nifedipine
|
|
How do you manage preeclampsia expectantly?
|
labetalol, methyldopa, nifedipine
|
|
How do you prevent eclampsia?
|
MgSO4
|
|
What drugs are contraindicated for HTN in pregnancy?
|
ACEI
ARBs |
|
What are the risks of preeclampsia for the mother later on?
|
cardiac disease, peripheral arterial disease, CVA
|