HIP, HIP Hooray
The 2 types of preeclampsia
What is preeclampsia without severe features and preeclampsia with severe feature
Medication given to prevent seizures
What is Magnesium Sulfate
Elevated glucose levels occuring during pregnancy
What is gestational diabetes?
The gold standard for measuring blood pressure
What is a sphygmomanometer
Systematic way to communicate patient information to providers and/or other staff.
What is SBAR?
New onset tonic-clonic seizures in absense of other causitive conditions.
What is Eclampsia?
The optimal intervention to prevent deaths due to stroke in women with preeclampsia
What is control the blood pressure
I feel fine now but I have a prior history of this.
What is preeclampsia?
3 important things to remember about taking a proper blood pressure
What are
-Right size cuff
-Patient should be sitting or semi-recumbent
-Patient should be sitting quietly prior and no talking during measurement
-Arm should be free of clothing
I don't agree with a provider's plan of care, so I need to use this communication tool.
What is CUS?
The most common symptoms immediately preceding Eclampsia
What are headache and visual disturbances?
Medications given to lower blood pressure in pregnancy.
What are labetalol, hydralazine, and nifedipine?
I'm not old, but can be a risk
What is maternal age >35+years?
Hypertension parameters during pregnancy
What is systolic B/P of 140 or greater or a diastolic B/P of 90 or greater?
The provider will not come see my patient and I feel it is a safety issue- what do I do?
Go up the Chain of Command.
Definition of chronic versus gestational hypertension.
What is chronic is diagnosed prior to pregnancy and/or prior to 20 weeks gestation and gestional hypertension is diagnosed after 20 weeks gestion.
Timeframe in which you must give antihypertensive after 2 severe B/P readings.
What is within 60 minutes?
Weight and these other issues may go together
What is BMI>30 and obstructive sleep apnea
Parameters for severe hypertension in pregnancy
What is systolic B/P of 160 or greater or a diastolic B/P of 110 or greater
The first person I should inform that I am going to initiate the Chain of Command.
Who is the provider I am speaking with?
HELLP Syndrome
What is Hemolysis, Elevated Liver Enzymes, Low Platelets
Therapeutic serum levels of MgSo4 for seizure prophylaxis
What is 5-8?
This is my first baby and I needed a little help.
What is assisted reproductive technology
Blood pressure has been grater than 140/90 on 2 occasions, but I need to look at this other sign of preeclampsia
What is proteinuria?
300mg or per per 24 hr urine collection, protein?creatine ratio of 0.3 or more, or Dipstick reading of 2+ (only used if other methods unavailable)
The Chief of Obstetrical Services at HPMC
Who is Dr. Richiusa?