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12 Cards in this Set
- Front
- Back
Dx: Mild Pre-Eclampsia
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3rd trimester BP>140/90 (either), taken on 2 occassions, at least 6 hours apart, accompanied by proteinuria> 300 mg/24 hours, and nondepednent edema (hands/face)
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Dx: Severe Pre-eclampsia
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160/110, Progeinuria> 5 g
+ systems involvement -vision changes -headache -oliguira <500 ml/24 hr -GI: RUQ pain -elevated liver transaminases (AST/ALT) -DIC -thrombocytopenia -hemolytic anemia -IUGR |
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A woman with mild range Pre-E BPs, mild-range protein, and ANY associated condition is classified as?
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Severely Pre-eclamptic
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Define: HELLP Syndrome
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Rapidly deteriorating liver function
-Hemolytic anemia -elevated liver enzymes -low platelets |
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Tx for pre-eclampsia?
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Delivery is the only ultimate treatment
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Define: Chronic Hypertension
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HTN present before 20 weeks gestation/before conception/more than 6 weeks postpartum
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2 most common drugs to treat CHTN?
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-Nifedipine (procardia, CCB)
-Labetalol (Beta blocker) |
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Define: Gestational Hypertension
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BP 140/90 or greater, 2 incidences 6 hours apart when seated
OR increase of 30 mmHg above pre-pregnancy systolic BP, or 15 mmHg above pre-pregnancy diastolic BP |
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Define: Superimposed pre-eclampsia
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CHTN + protein. 1/3 of CHTN develops into superimposed pre-eclampsia
If pt had baseline renal disease, may be a dx of *exacerbation of hypertension |
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Pre-eclampsia pathophysiology?
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Multi-ssytem vasospasm
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What drug can be given to protect against maternal seizures in pre-eclapmsia?
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Magnesium sulfate
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High BPs in Pre-E pts can be controlled with?
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Hydralazine
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