Diagnosis
HELLP
Hemolysis
Elevated Liver Enzymes 2x ULN
Low Platelets (< 100)
having preeclampsia + waiting to deliver the baby without interventions?
Expectant management
What is the BP that makes you think EMERGENCY
SBP>160 +/- DBP >110
Diagnostic criteria for eclampsia?
pre-eclampsia + seizures or blindness
what sequelae are we trying to prevent with emergent IV treatment of severely high blood pressure
CVA
you perform peripheral smear and find schistocytes + burr cells... what are you scared for?
HELLP
criteria for gestational HTN
1. BP
2. weeks gestation
1. SBP ≥ 140 mmHg +/- DBP ≥ 90 mmHg
(two readings x 4 hours apart)
2. 20+ weeks gestation
**previously normal BP**
2 pharm treatments for postpartum preeclampsia?
1. IV MAG
2. anti-HTN
If patient has any of the conditions along the G-HTN spectrum, name 3 sequelae patient is at risk for
preterm delivery
C-section
organ failure
Abruption
Seizure
postpartum hemorrhage
MI
CVA
Death
fetal growth restriction
stillbirth
diagnostic criteria for pre-eclampsia
Both = x2 points
1. gHTN with proteinuria >300 mg on 24 hour urine collection
- OR -
2. urine:Cr ratio of 0.3
when to induce for preeclampsia with AND without severe symptoms
w/o severe symptoms → 37 weeks
w/ severe features → 34 weeks
28-year-old pregnant person at 33 weeks gestation arrives at the ED with a sudden-onset severe headache, visual disturbances. Her BP is 178/112.
1. what diagnosis are you scared of?
2. immediate next step?
1. eclampsia
2. IV mag + IV anti-HTN
Name 4 out of the 7 features of preeclampsia with severe features
1. thrombocytopenia <100
2. LFTs ↑↑ (2x ULN)
3. severe RUQ or epigastric pain
4. renal insufficiency (SCr > 1.1)
5. pulmonary edema
6. new onset HA
7. BP > 160/110 4+ hours apart
35 week gestation birthing person with PMHx of asthma presenting with BP 149/94 ...
what do you NOT want to give?
𝛽-blocker --> labetalol
contraindications = asthma
what percentage of gHTN progresses to preeclampsia within 1-5 weeks?
10-15%