Put on the Pressure
This blood pressure reading is considered hypertensive in the OB patient.
What is >140/90 (either value).
This refers to new onset of hypertension (>140/90) that occurs after 20 weeks gestation in women w/o previous high blood pressure, proteinuria, other symptoms, or lab abnormalities.
What is Gestational Hypertension?
Every OB patient should be screened for these neurologic symptoms which often include blurred vision and/or ____.
What is Headache?
T/F: Magnesium Sulfate is used as an anti-hypertensive in OB patients.
This blood pressure reading is considered serve range hypertensive in the OB patient.
What is >160/110 (either value).
This refers to hypertension present before pregnancy or hypertension that is diagnosed before the 20th week gestation.
What is Chronic Hypertension?
OB patients should be assessed for the presence of epigastric (or RUQ) pain and N/V due to impaired ___ function.
What is Liver?
T/F: When presenting to the ED, any OB patient with signs suspicious for pre-eclampsia/eclampsia should immediately be reported to the OB hospitalist (or primary OB) following MSE.
What is True
To meet criteria for severe range BP, the OB patient must have ____(number) severe range BP readings taken at least 15min apart within the same hour.
What is two?
T/F: Proteinuria must be present to meet diagnostic criteria for pre-eclampsia.
What is False?
A creatinine level in an OB patient should be less than this.
What is One?
This oral medication can be used to treat severe range BP when IV access is unavailable.
What is Nifedipine?
The OB patient with any type of hypertensive disorder (chronic, gestational, or pre-e) should be started on a daily low dose of this medication.
What is aspirin?
T/F: Pre-eclampsia is divided into two categories. Pre-eclampsia with severe features OR pre-eclampsia without severe features.
What is True?
This is most common complication of pre-eclampsia.
What is Pulmonary Edema?
You give an initial dose of Hydralazine to treat severe range HTN. You should re-assess BP this many minutes following that dose.
1900: 158/99
1915: 160/98
1930: 159/97
1945: 162/112
2000: 159/98
What is True?
___% of OB patients who develop pre-e during post-partum had NO pregnancy diagnosis of preeclampsia
What is 60? (Also, 1/3 of OB patients who experience eclampsia are 48-hours to 6 weeks postpartum...who do they come to first?)
In line with the non-OB population, perinatal patients can experience this devastating outcome if severe range BP is not treated quickly and appropriately.
What is Stroke?
You give an initial dose of Labetalol to treat severe range HTN. You should re-assess BP this many minutes following that dose.
What is 10?