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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