Severe GHTN
PEC
Severe PEC
Eclampisa and Seizure Prophylaxis
Postpartum Care
100
Diagnosis requires the systolic BP be greater than or equal to this number
What is 160?
100
This is how many mg of protein in 24 hours is the minimum to be diagnosed with preeclampsia.
What is 300?
100
Diagnosis of severe PEC may include this BP on at least two occasions 4-6 hours apart sitting.
What is at least 160/110? (either one)
100
Eclampsia can occur at these times in relation to pregnancy.
What is any time during or following pregnancy?
100
This is the frequency of VS and full assessments in the first 24 hours postpartum for patients with PEC.
What is every 4 hours?
200
Diagnosis requires the diastolic BP be greater than or equal to this number
What is 110?
200
This is the minimum BP that is required to be diagnosed with preeclampia.
What is 140/90?
200
Diagnosis of severe PEC may include oliguria of less than this many ml in 24 hours
What is 500 ml?
200
This is the primary medication used to control seizures in eclampsia.
What is magnesium sulfate?
200
These are three symptoms of PEC warning signs that a patient may feel within their head.
What are headache, blurry vision and seeing spots in their vision?
300
Diagnosis is based on BP alone with normal values for these labs.
What are proteinuria, liver function tests and thrombocytopenia?
300
This is the number of hours apart on at least two occasions that the BP needs to be elevated.
What is 4 - 6 hours?
300
These are other signs and symptoms of severe PEC.
What are cerebral or visual disturbances, pulmonary edema, impaired liver function, severe RUQ pain, thrombocytopenia with PLT < 100,000?
300
Magnesium sulfate is not given to patients with preeclampsia (formerly known as mild preeclampsia) unless the following symptom attributable to PEC or the following BP is present at least once.
What is a headache and any BP > 160/110 in triage or inpatient? (severe PEC includes TWO BP in this range at least 4 hours apart)
300
These are two symptoms of PEC warning signs that a patient may feel within their torso.
What is RUQ pain and epigastric pain?
400
Systolic and diastolic BP need to BOTH be elevated or EITHER ONE.
What is either one?
400
This is the P:C ratio that is required for a definitive diagnosis of preeclampsia without needing a 24 hour urine.
What is 600 mg/grams? (200-600 is indeterminate and a 24-hr urine needs to be ordered; less than 200 is negative.)
400
What two things are NO LONGER criteria for severe PEC?
What are the degree of proteinuria and fetal growth restriction?
400
This is the level of preeclampia in which all patients will require seizure prophylaxis.
What is severe preeclampsia?
400
This is an important thing to educate a patient about who may be off the unit visiting their baby in NICU.
What is the importance of frequent BP checks and the need to be present for assessment as scheduled every 4 hours?
500
This is the typical routine for inpatient management of PEC (include frequency of BP, I&O, weight, NST, labs , U/S and gestational age for delivery)
What is BP 4 times a day sitting, strict I&O, daily weight, daily NST, weekly labs, U/S every 3-4 weeks, and delivery at 37 weeks?