Term
| Normal pregnancy cardiac changes |
|
Definition
Increased vol and HR
Decreased BP and SVR |
|
|
Term
|
Definition
Higher diaphragm
Increased RR
Increased O2 capacity |
|
|
Term
|
Definition
Increased prothrombin and fibrinogen
Decreased fibrinolysis |
|
|
Term
|
Definition
Increased GFR
Decreased BUN/Creatinine |
|
|
Term
Risk factors
1. Maternal
2. Preg
3. Med
4. Paternal |
|
Definition
1. Maternal: Primi, not 25-35, african
2. Preg: UTI, donor, multifetal
3. Med: HTN, DM, thombphlebitis
4. Paternal: 1st time, hx preeclampsia |
|
|
Term
|
Definition
No proteinuria >20 wks
140/90 2 occasions, 6h apart
Cuff size, trimester, position |
|
|
Term
| Transient v chronic gestational HTN |
|
Definition
1. Transient: Asymp, WNL 12 wk pp
2. Chronic: Persists 12 wk pp |
|
|
Term
|
Definition
HTN Triad: >20 wk, proteinuria, edema
Spots, pedal edema, low platelet, R epi pain |
|
|
Term
|
Definition
24h urine
>3g (300 mg)
1+ on UA |
|
|
Term
| Vascular damage d/t preeclampsia |
|
Definition
DON'T limit fluids! Vessels are dry
Only limit with CHF/Pulm edema |
|
|
Term
|
Definition
| H/A, clonus, LOC, eclampsia, CVA |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Pulmonary edema- pink frothy sputum |
|
|
Term
|
Definition
| N/V, HELLP, liver rupture |
|
|
Term
|
Definition
Poor flow, premature aging
Oligio, abruptio, IUGR |
|
|
Term
|
Definition
Low GFR, C. clearance
Olig/proteinuria
Increased BUN/Creatinine |
|
|
Term
|
Definition
Hemoconcentration
Low platelets
Low fibrinogen
HRF DIC |
|
|
Term
| Pre-EC needs ___ DX and won't be better until ___. |
|
Definition
|
|
Term
|
Definition
800-1,000 ml/day
DFMC
Bed rest |
|
|
Term
|
Definition
>160/110
Proteinuria 3/4+ or >5g/24 h
Pulm edema, IUGR, oligio |
|
|
Term
|
Definition
|
|
Term
|
Definition
1. CBC (Platelet, HH)
2. CMP (LFT, uric acid, BUN/creat)
3. 24 h urine |
|
|
Term
|
Definition
Daily wt
Seizure prec.
MgSO4 |
|
|
Term
In pre-EC, we intervene if:
1. Fetal
2. Maternal |
|
Definition
1. Fetal: IUGR, bad FHR, oligio
2. Maternal: >38 wk, placenta >100,000, severe H/A/visual, epigastric/N/V |
|
|
Term
| In pre-EC, we ___ perform a ___ ___! |
|
Definition
|
|
Term
| Mag Sulfate administration |
|
Definition
Prevents pre-EC seizures
IVPB, loading dose 6g/30 min
<2 mg/dL (therap is 4-8)
DON'T give w/ Clindamycin
Every h: I/O, DTR, VS' |
|
|
Term
|
Definition
N/V
Resp distress <12
Weakness
Give Ca gluconate |
|
|
Term
Meds for HTN in pregnancy (6)
Pregnant Ladies Need An Active Newborn |
|
Definition
1. Procardia
2. Labetolol
3. Nicardipine
4. ACEs
5. Apresoline
6. Nipride |
|
|
Term
|
Definition
Patent airway
Prolonged decels, min variab is bad
O2 |
|
|
Term
|
Definition
Later pregnancy D/T pre-eclamp
Epi pain, new N/V
Hemolytic anemia
Elevated
Liver enzymes
Low
Platelet (Wont buildup til after deliv) |
|
|
Term
|
Definition
Ca supplementation
Low dose ASA
Ambulatory BP Monitoring |
|
|
