Medications
IV Labetalol, IV Hydralazine, PO Nifedipine
What are the three first line anti-hypertensive medications for severe range BP’s
Epigastric pain or RUQ pain is related to this organ.
What is the liver
Pre-E is a disease that originates in this organ.
What is the placenta
The antidote to Magnesium Sulfate
What is Calcium Gluconate
Intervention when unable to obtain an accurate BP with an automatic cuff (i.e. if your patient is shaking)
What is measure the BP manually
Maximum total IV infusion rate of all fluids for a pre-eclamptic patient
What is 125 ml/hr
RR < 12, decreased LOC, lethargy, drowsiness, inability to move extremities, diminished or absent reflexes, chest pain, SOB, hypotension
What are signs/symptoms of magnesium toxicity
Number of minutes elapsed between identification and confirmation of severe range BP
What is 15 minutes
A Magnesium Sulfate infusion requires this upon initiation.
What is a 2nd RN confirmation and co-sign
The Acute Treatment Algorithm for hypertensive emergencies applies to the pregnant patient and this many weeks postpartum
What is up to 6 weeks postpartum
Anti-hypertensive medications that need to be given over 2 minutes with the patient in a supine position.
What are IV hydralazine and IV labetalol
HELLP acronym stands for
What is Hemolysis, Elevated Liver Enzymes, Low Platelets
The target BP range after treatment of severe range BP's
130-150/80-100
The recommended therapeutic range for magnesium sulfate
What is 4-8 mEq/dL
Recommended number of days between discharge and follow up BP check with a Pre-E with severe features diagnosis
What is 3 days or less
The timeframe in which a first line anti-hypertensive medication should be administered after 2 consecutive severe range BP’s
What is 30-59 minutes
BP’s > 140/90 x 2 more than 4 hours apart after 20 weeks gestation
What is gestational hypertension
Number of minutes elapsed between administration of nifedipine and BP recheck
What is 20 minutes
Order in which Magnesium and Pitocin should be connected to the patient
What is Pitocin 1st, Magnesium 2nd
This medication has been shown to reduce the risk of developing pre-eclampsia in high-risk women.
What is baby aspirin
What is 2 grams.
This protein is the primary component of clotting
What is fibrin
Symptoms of Pre-eclampsia typically are seen after this gestational age.
What is 20 weeks gestation
Assessments required during magnesium therapy Q 30 for 2 hours, and then hourly for labor and Q 2 hours for PP.
What is VS, Intake and Output, s/s toxicity
Recommended number of days between discharge and follow up BP check with a GHTN diagnosis
What is 7 days or less