MEDICATIONS
What is the first line medication to treat a sustained severe range with no IV in place?
Nifedipine
Stable patient with chronic HTN admitted to ANTE
Q4H
true or false; 30 percent of maternal deaths globally are related to hypertensive disorders of pregnancy.
false. 16 percent.
What is the first action after a severe range BP?
Notify the doctor!
Which medication is contraindicated for patients with asthma
Labetalol
An ante patient who has a severe range BP, 15 minutes later its mild range, when do you check again?
4 hours
Most important action to reduce maternal mortality and morbidity from HDP.
rapid timely treatment of severe hypertension.
What is the second action after a severe range BP?
Repeat the BP in 15 min
Which medication is preferred if patients heart rate is over 110?
Labetalol
When do you reassess BP after administering Nifepedipine for a severe range BP?
20 minutes
What are the long-term risks after HDP?
pulmonary edema and cardiomyopathy.
What is the goal treatment time for severe range BP?
within 60 min from initial severe range BP
Which medications should be given over 2 minutes?
Labetalol and Hydralazine
Regardless of medication administered for HTN crisis, once stable, how often do you check BP?
Q10 x 1 hour
Q15 x 1 hour
Q30 x 1 Hour
Q1hour x 4
True or False. Patients should be counseled that HDP increases risk of future cardiovascular disease and should follow up with PCP.
True.
When should a second dose of IV Labetalol be administered after a sustained severe range BP?
10 min
How many doses of labetalol can you have before switching medications, and what should you switch to?
3! (20, 40, 80)
Hydralazine (10, 10)
After administering Hydralazine
20 min
True or False. Those with low SPO2 and dyspnea should be evaluated immediately and receive cardiology consultation.
True.
A patient is stable after receiving 2 doses of labetalol, 20 min later their BP is 164/112. When do you repeat the BP?
15 min