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GHTN
GHTN-treatment
Severe PEC
Eclampisa and Seizure Prophylaxis
Postpartum Care
100
classification of severe
What is 160 systolic or 110 diastolic?
100
37 weeks
when is delivery recommended
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
minimum gestational weeks
What is 20weeks?
200
This is the minimum BP that is required to be diagnosed with preeclampia.
What is 140/90? 4 hours apart after 20 weeks of gestation in a woman with a previously normal blood pressure
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
The definition for Renal insufficiency as a criteria for preeclampsia.
What is Serum creatinine concentrations greater than 1.1 mg/dL or a doubling of the serum creatinine concentration in the absence of other renal disease?
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
The failure of BP to normalize postpartum requires changing the diagnosis to ___
What is chronic hypertension?
400
This is the definition of Impaired liver function
What is Elevated blood concentrations of liver transaminases to twice normal concentration
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
Strict bedrest is reommended
What is never?
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?