Definitions/General
New onset tonic-clonic, focal, or multifocal seizures occurring in pregnant women without other explanations.
Eclampsia
Common risk factor for eclampsia.
Previous hx of preeclampsia/eclampsia
This symptom of preeclampsia/eclampsia includes swelling in the hands, feet, and face.
Edema
This is the best way to stabilize eclampsia/HELLP.
Delivery
These are serious maternal complications of eclampsia.
Coma, stroke, or death.
These are the words/signs that represent the acronym HELLP.
Hemolysis, Elevated Liver enzymes, and Low Platelet count.
This is the pathophysiological cause behind each letter of H of the acronym HELLP.
Systemic arteriolar vasospasms, capillary endothelial damage, platelet aggregation, fibrin deposition, or RBCs being forced through decreased vessel lumens.
This is a notable symptom of preeclampsia/eclampsia that is different from gestational hypertension.
Proteinuria
First line medication that can prevent seizures in women with eclampsia.
Magnesium Sulfate
This complication occurs when the placenta separates from the uterus before the baby is born, which can occur in women with preeclampsia or eclampsia.
Placental abruption
A BP of 140/90 or greater on 2 separate occasions 4 hours apart.
Diagnosis of hypertension during pregnancy
This leads to poor outcomes of preeclampsia/eclampsia.
Lack of prenatal care/testing and uncontrolled hypertension.
This warning sign of eclampsia refers to a sudden and severe increase in blood pressure.
Hypertensive crisis
A drug that is contraindicated for patients with hypertensive disorders in PPH
Methergine
This serious postpartum complication that moms with hypertensive disorders are predisposed to.
PPH
due to decreased blood volume compared to normotensive pregnancies.
These are the severe features of preeclampsia/eclampsia.
An elevated BP >160/110 with one or more systemic manifestation.
(can include proteinuria, thrombocytopenia, renal insufficiency, liver dysfunction, pulmonary edema or cerebral symptoms)
Genetic predisposition to hypertension developing during pregnancy.
Familial history
The clinical criteria for proteinuria.
>300mg over 24 hour, or protein/creatinine ratio >0.3
Secondary line of defense medications for seizure precautions.
Benzodiazepines and phenytoin
This is a life threatening complication of HELLP that needs surgical intervention.
Liver hematoma rupture and shock.
Maternal and fetal mortality is over 25%
This is the percentage of women who experience eclampsia specifically during the postpartum period.
11-44%
These are risk factors that predispose women to hypertensive disorders in pregnancy.
African American race, obesity, multigestational pregnancies, dyslipidemia, and physical inactivity.
What to assess for in pregnant moms who are on eclampsia precautions (nursing wise).
DTR, Lung Sounds, Intake and Output, Unrelenting Headaches, RUQ pain, and Vision Changes
These are the interventions of controlling seizures due to eclampsia.
Protecting the mother, airway, administer oxygen, and start Magnesium Sulfate.
These are common complications of HELLP.
Acute fatty liver, appendicitis with rupture, cerebral hemorrhage, diabetes insipidus, systemic lupus erythematosus, or pancreatitis.