Pregnancy- Induced Hypertension (PIH)

Hypertensive Medications

100

This calcium channel blocker is used to treat elevated blood pressures. Recommended treatment if IV access has not been obtained. Dosage is 10mg PO.

Nifedipine 

200

This beta blocker is used to treat elevated B/P; contraindicated in patients with history of asthma or first degree heart block. 

Labetalol 

300

This vasodilator is used for severe B/P elevation. Side effects include: flushing, headache, maternal or fetal tachycardia, palpitations, and uteroplacental insufficiency 

Hydralazine 

400

For persistent, severely elevated blood pressure readings, antihypertensive medications should be administered within what time frame? 

1 hour 

500

This medication is the preferred drug of choice in the prevention of eclampsia. 

Magnesium Sulfate 

Nursing Care & Education

100

These precautions should be taken for a patient with a hypertensive diagnosis: oxygen, oral airway, suction, & padded side rails.

Seizure precautions

200

Patients should be educated that preeclampsia can still occur up to this amount of time after delivery.

6 weeks 

300

These are best practices for blood pressure measurement. 

Sitting with feet on the floor, legs uncrossed, after resting, and using an appropriate size BP cuff

400

Postpartum preeclampsia discharge instructions should include: return to the hospital if any SOB, visual changes, epigastric pain, or more than 2 blood pressures greater than this number.

160/110

500

Patients with severe preeclampsia should be educated to follow up with their OB doctor within this amount of time after discharge?

72 hours

Symptom Identification

100

Preeclampsia occurs most often after what point in pregnancy. 

>20 weeks 

200

Blood pressure of 160/110 is indicative of what condition. 

Hypertensive crisis

300

These are symptoms of Preeclampsia. 

B/P >140/90, 20+ weeks pregnant, proteinuria, rapid weight gain, significant swelling in face, hands, and/or feet.

400

Pt B/P's are as follows: 145/85,148/92, 150/88, 138/94. 30 weeks pregnant. Denies HA, epigastric pain or changes in vision. DTRs +2, no clonus, labs WNL. She is likely experiencing what?

Gestational Hypertension

500

Presenting patient symptoms: 37 weeks pregnant. HA, unresolved with medication. Blood pressures of 165/100, 162/98, 174/96, 170/104. DTRs +3, & clonus in hands. After IV placement, begins seizing.

Eclampsia 

MAG Facts

100

“This is the loading/initial dose of Magnesium Sulfate to be given for Preeclampsia."

4-6g IV bolus over 20 minutes 

200

This is the maintenance magnesium sulfate dose to be administered. 

1-2 g/hr

300

Magnesium Sulfate is contraindicated in what preexisting health conditions?

Myasthenia Gravis, Pulmonary Edema, Renal Failure  

400

These are signs of magnesium toxicity. 

Loss of DTR's, RR <12/min, urine output < 30mL/hr, changes in LOC.

500

This is the antidote for magnesium toxicity. 

Calcium Gluconate