Hmmm...CHTN or GHTN?
The amount of time a patient should be allowed to rest prior to taking a blood pressure measurement.
What is 5 minutes?
A loading dose of 4-6 grams, per MD order, over 30 minutes via infusion pump.
What is magnesium sulfate?
Rating score of a deep tendon reflex (DTR) as small with a trace response or decreased normal.
What is 1 or 1+?
Renal damage from severe vasospasm and decreased blood flow result in this.
What is proteinuria?
The "EL" in HELLP.
What is elevated liver enzymes?
HTN diagnosed prior to the 20th week of gestation.
What is Chronic Hypertension?
If severe BP elevations persist for 15 minutes or more give 20 mg of this medication IV over 2 minutes.
What is Labetalol?
Small, spontaneous twitching or large motions that may be initiated by assessment of a reflex.
What is Clonus?
Abnormal accumulation of fluid outside of the vascular space of the lung
What is pulmonary edema?
General malaise, nausea, vomiting, epigastric pain.
What are non-specific symptoms of HELLP?
G1P0, 36+0, presenting to triage for rule out ROM with multiple BPs of 150s/90s, absence of proteinuria, and no previous history of HTN.
What is gestational hypertension?
15 to 30 mL of a 10% of this solution administered intravenously over 2 to 5 minutes to patients in cardiac arrest or with severe cardiac toxicity related to hypermagnesemia.
What is calcium gluconate?
SBP>=160 or DBP >= 110
What is a severe range blood pressure?
BP: 170/110 and 182/111 with headache
Plt count <=100,000 per ml
Creatinine >=1.1 mg/dl
Elevated AST/ALT
What is preeclampsia with severe features?
It is estimated that approximately this percentage of women who develop preeclampsia will develop HELLP syndrome.
What is 5% to 10%?
This percentage of women with CHTN may develop superimposed preeclampsia.
What is 25%?
A smooth muscle relaxer administered for off-label use to reduce uterine contractions during preterm labor.
What is nifedipine?
Every 10 minutes x 1 hr, then every 15 minutes x 1 hr, then every 30 minutes x 1 hr, then every 60 minutes x 4 hours.
What is the BP protocol?
Presentation of G3P2002 at 31+6, BP 198/110, ASA daily, 3+ protein dip, prior history of HTN no medications being taken, no headache, no RUQ pain.
What is CHTN with superimposed preeclampsia?
Endothelial damage, reduced blood flow secondary to obstruction from fibrin deposits within the liver can result in this patient presentation.
What is RUQ tenderness, nausea, and vomiting?
Medication recommendation for women at high risk (i.e. CHTN) of preeclampsia between 12 weeks and 28 weeks of gestation (optimally before 16 weeks) and continued daily until delivery.
What is low-dose aspirin (81 mg/day)?
If severe BP elevations persist for 15 minutes or more give 5mg or 10mg IV of this medication over 2 minutes.
What is Hydralazine?
As fluid moves from the intravascular to the extravascular space, the blood becomes more concentrated leading to a rise in this.
What is hematocrit?
When this occurs, anticipate fetal bradycardia and the possibility of a STAT c-section after maternal stabilization.
What is eclampsia?
37 y.o. G5P3013 at 35+1 presents to L&D with a complaint of severe headache unrelieved by acetaminophen, hydration, and rest. BP's are consistently 180s/100s. Magnesium sulfate bolus initiated. Labetalol 20 mg IV administered with no change in BP. Lab work resulted: platelets < 100, creatinine >1.1, AST/ALT elevation. What is the expected outcome for this patient?
What is delivery?