TEST #1: PIH Flashcards

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1

WHAT IS THE DIAGNOSTIC CRITERIA FOR MILD PREECLAMPSIA?

  • BP: >140/90 (MEASURED ON 2 DIFFERENT OCCASIONS, 4-6 HOURS APART)
  • PROTEINURIA - +1 OR +2 ON 2 DIFFERENT OCCASIONS 4-6 HOURS APART

2

WHAT IS THE DIAGNOSTIC CRITERIA FOR SEVERE PREECLAMPSIA?

BP: >160/110 (MEASURED ON 2 DIFFERENT OCCASIONS, 4-6 HOURS ABOUT)

PROTEINURIA - >300MG (MEASURED ON 2 DIFFERENT OCCASIONS, 4-6 HOURS APART)

3

WHAT DOES BETAMETHASONE DO FOR BABIES WITH MOTHER'S THAT HAVE PREECLAMPSIA?

WHEN IS THE MOTHER NOT ELIGIBLE TO RECEIVE BETAMETASONE?

STRENGTH'S BABY'S LUNGS

AFTER 34 WEEKS

4

WHAT OTHER BENEFIT DOES MAG SULFATE OFFER OTHER THAN PREVENTING SEIZURES?

DEVELOPS BABY'S BRAIN

5

NORMAL DTRS

+2 OR +3

REVIEW 19.1 chart pg 689; 19.2 chart pg.690

6

WHAT MAG LEVEL IS CONSIDERED TOXIC?

> 8

7

WHAT MAG LEVEL IS CONSIDERED THERAPEUTIC?

4-7

8

WHAT TO MONITOR ASSESS WHILE TXING ECLAMPSIA W/ MAG SULFATE

  • CHECK DTRS
  • CHECK CLONUS
  • ASSESS FOR MAG TOXICITY
  • ASSESS SERUM MAG LEVEL
  • HAVE CALCIUM GLUCONATE AVAILABLE AT PATIENT'S BEDSIDE
  • FETAL SURVEILLANCE IS CRUCIAL

9

SAFELY CONCERNS W/ ECLAMPSIA

SEIZURES!!

  • SEIZURE PRECAUTIONS: PADDED BEDRAILS, KEEP SIDE RAILS UP, STAY W/ PATIENT, ENSURE PATIENT IS ON L LATERAL SIDE
  • AFTER SEIZURE IS OVER, SUCTION AND PROVIDE 02 PRN
  • FETAL SURVEILLANCE
  • DOCUMENT!!!
  • PREPARE MOM FOR DELIVERY TO PREVENT MORTALITY
  • ASSESS FOR SEIZURE ACTIVITY, FREQUENT VITAL SIGN MONITORING

10

AFTER BABY IS DELIVERED W/ MOM WITH ECLAMPSIA, HOW LONG IS MAGNESIUM ADMINISTERED?

24 HOURS AFTER DELIVERY

11

TYPE OF PIH THAT IS CLASSIFIED W/:

  • HTN AFTER 20 WEEKS GESTATION IN PREVIOUSLY NORMOTENSIVE WOMEN
  • BP: 140/90 (ON 2 DIFFERENT OCCASIONS, 4-6 HOURS APART)
  • NO PROTEINURIA NOTED!!

HOW IS IT TREATED?

GESTATIONAL HTN

CLOSE MONITORING

12

TYPE OF PIH THAT IS CLASSIFIED W/:

  • HTN PRESENT BEFORE PREGNANCY OR BEFORE 20 WEEKS GESTATION
  • BP: >140/90

WHAT IS THE TREATMENT FOR THIS?

CHRONIC HTN

SAFE ANTI-HYPERTENSIVE MEDS: LABETALOL; NIFEDIPINE; HYDRALAZINE; LASIX

13

WHAT ARE THE S/S OF MAG TOXICITY?

  • FLUSHING
  • SWEATING
  • HYPOTENSION
  • CARDIAC AND CNS DEPRESSION
  • DECREASED URINE OUTPUT, DTRS, RESPIRATIONS

14

WHAT MEDS ARE TERATOGENIC IN PREGNANCY?

  • ACE INHIBITORS (-PRILS)
  • ARBS (LOSARTAN)

15

ANTIDOTE FOR MAG SULFATE

CALCIUM GLUCONATE

16

ONLY DEFINITIVE CURE FOR PREECLAMPSIA/ECLAMPSIA

DELIVERY OF BABY