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15 Cards in this Set
- Front
- Back
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what is the most common complication of pregnancy?
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hypertension
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what are the 3 types of hypertension in pregnancy and define them.
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chronic HTN (occurs <20wks); Gestational HTN (HTN after 20wks, without symptoms of preeclampsia); Preeclampsia (occurs >20wks)
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name the triad of preeclampsia.
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proteinuria, HTN, pitting edema
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what is the difference in preeclampsia and eclampsia?
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with eclampsia, add convulsion to the symptoms of eclampsia (proteinuria, HTN, edema)
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Name the drug of choice in treating chronic hypertension in pregnant women.
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methyldopa
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name the drug of choice in treating severe preclampsia.
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hydralazine (second line: labetalol)
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what methods do you utilize to diagnose a DVT during pregnancy?
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ultrasound (if positive) -> venography
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if a woman is not pregnant, what method would you utlize to rule/out DVT?
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D-Dimer test
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what methods do you utilize to diagnose a Pulmonary embolism in a pregnant woman?
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Arterial blood gas(pO2 drops 15 when supine vs upright); Ventilation/Perfusion (V/Q Scan)- study of choice; Pulmonary Artery arteriogram if needed; AVOID CT due to excessive radiation
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If you find a DVT in a pregnant woman, what would you treat her with?
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Heparin- doesn't cross the placenta; IV for 3-5 days, then subq till delivery + 3months after (Do NOT use warfarin - it crosses the placenta)
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List the complications for gestational diabetes.
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1) fetal macrosomia; 2) rate of cesarean delivery doubled; 3) increased risk of fetal morbidity; 4) increased frequency of hypertensive disorders (ie. preeclampsia) and 5) increased major congenital anomalies
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If a person developed inside a mother with gestational diabetes what is he/she at risk for?
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increased risk of obesity and abnormal glucose tolerance as children and young adults
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women with gestational diabetes have a ___ to __% risk of acquiring _______ within 5-16 years after the pregnancy.
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`7-63% risk; nongestational diabetes (use 50% as a rule of thumb)
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when testing a pregnant woman for gestational diabetes what 3 hour test do you do and what #s put you into the gestational diabetes category?
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at 24-28 wks do a 3 Hour OGTT (Oral Glucose Tolerance Test); Fasting>94; 1hour >179; 2hr > 155; 3hr >140
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When treating a pregnant woman for diabetes, what is the only anti-glucose drug allowed?
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Insulin (ultra-short acting insulin) ie. Lispro
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