Assessment
What is the primary characteristic of pre-eclampsia?
High blood pressure
What is considered a severe blood pressure
160/110
AST and ALT are usually what with Pre-e
What medication is used to help prevent seizures
Magnesium Sulfate
Hypertension prior to 20 weeks gestation is
Chronic hypertension
What should be included in your vital signs assessment with Pre-E
Deep tendon reflex's
What are two symptoms people complain of when arriving with concerns for pre-eclampsia?
Headache
blurry vision
epigastric pain
shortness of breath
What diagnostic test is gold standard in evaluating pre-eclampsia
24hr urine
What Precaution is important to remember for a patient with Pre-eclampsia
Seizure precautions
Hypertension diagnosed after 20 weeks with no multisystem issues or proteinuria
What can be mistaken for indigestion?
Epigastric pain
What are you checking when you are gently flexing the patients feet
Clonus
Name 1 signs of magnesium toxicity?
absent DTR's, hypocalcemia
EEG changes, Slurred speech
chest pain, decreased urine output
Respiratory depression
cardiac arrhythmias
What is the primary treatment for pre-eclampsia?
Delivery
A patient can have chronic hypertension and pre-eclampsia
(True or False)
True
To determine renal function what is important to take accurately
Input and outputs
What condition can develep if pre-eclampsia is severe?
Eclampsia
Abnormal Protein/creatinine ratio
>0.3mg.dl
Reversal agent for magnesium toxicity
Calcium gluconate
At what age are you at a higher risk of developing Pre-E
35 and older
When Magnesium is running how often should you check vitals?
every 15 for 1 hour
every 30 for 2 hours
every hour throughout infusion
Besides seizure what is 1 further complication of Pre-eclampsia
HELLP syndrome
Organ damage
Abnormal protein amounts in urine in a 24 hour period?
300 mg
Name 2 antihypertensive used to treat elevated Blood pressures
Labetalol (Trandate)
hydralazine (Apresoline)
What race is at a higher rick for pre-E
African American