Safety
When this happens to your patient, your priority is to stay at the bedside, call for help, and maintain the patients airway, and provide safety.
What is a seizure
This hypertensive disorder is diagnosed BEFORE 20 weeks gestation
What is chronic hypertension
When a patient has GHTN, this can cause the growth of the baby to be
Restricted, FGR
Preeclampsia can cause this to spill into urine
Protein
You will notice swelling here with GHTN
Face or hands
The healthcare provider may restrict this if the patient has a hypertensive disorder in pregnancy and there is concern for fluid overload
What is IV fluids/oral fluids
This hypertensive disorder is diagnosed after 20 weeks gestation
What is gestational hypertension
This medication used for seizure prophylaxis can cause the infant to be temporally floppy, and require respiratory support after delivery
What is Magnesium Sulfate
Your patient might be experiencing this if their platelet levels drop to 56
What is HELLP
List three risk factors for hypertensive disorders of pregnancy
Nulliparity, multiple gestation, history of preeclampsia, obesity, chronic hypertension, pregestational and gestational diabetes, advanced maternal age, obstructive sleep apnea, thrombophilia, SLE, anti-phospholipid syndrome, kidney disease, assisted reproductive technology
During a seizure, the nurse should do this to this intervention first to ensure safety for her patient.
What is turn her on her side and call for help. Anticipate administering mag sulfate bolus.
BP >140/90 on at least 2 occasions more than 4hrs apart with proteinuria and BP >160/110, headache, visual changes, shortness of breath, RUQ pain, n/v, edema, lab abnormalities
What is preeclampsia with severe features
34 weeks or sooner if worsening maternal/fetal status
This is the most common complication of pregnancy
Gestational Hypertension
This reflex may be diminished if the patient has a high magnesium level
What is deep tendon reflex
This Mag level is considered therapeutic for a preeclamptic patient with a continuous Mag drip
What is 4-8mg/dl
New onset seizure during pregnancy or postpartum not related to other cerebral conditions
Eclampsia
This medication is given to the patient when premature delivery is anticipated to help lung development
What are steroids
This type of hypertensive disorder is characterized by the onset of seizure activity
Eclampsia
These are normal S/S for a patient to experience when receiving magnesium sulfate.
Flushing, nausea, drowsiness
Patients must be educated that this organ may have long lasting effects after acute gestational HTN resolves.
What is the kidney
HELLP stands for this
H- hemolysis
EL- elevated liver enzymes
LP- low platelets
Infants born prematurely will be admitted to this unit after delivery
What is the NICU
This is the only 'cure' for gestational hypertension
What is delivery
Patients may C/O RUQ pain with this hypertensive disorder
What is preeclampsia