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

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)

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

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

DEVELOPS BABY'S BRAIN

NORMAL DTRS

+2 OR +3

REVIEW 19.1 chart pg 689; 19.2 chart pg.690

WHAT MAG LEVEL IS CONSIDERED TOXIC?

> 8

WHAT MAG LEVEL IS CONSIDERED THERAPEUTIC?

4-7

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

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

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

24 HOURS AFTER DELIVERY

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

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

WHAT ARE THE S/S OF MAG TOXICITY?

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

WHAT MEDS ARE TERATOGENIC IN PREGNANCY?

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

ANTIDOTE FOR MAG SULFATE

CALCIUM GLUCONATE

ONLY DEFINITIVE CURE FOR PREECLAMPSIA/ECLAMPSIA

DELIVERY OF BABY