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Flashcards in Hypertensive Pregnancy Deck (14)
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1

HTN definition

140/90
Most common complication of pregnancy
Classic triad HTN, proteinuria, edema

2

Chronic hypertension

Before conception or before 20th week or diagnosed at 20 weeks and persists 12 weeks postpartum

3

Gestational hypertension

HTN for the first time after 20 weeks, without proteinuria

4

Preeclampsia superimposed on chronic hypertension

HTN with proteinuria before 20 weeks. Platelet count <100,00

5

Preeclampsia and eclampsia syndrome

Gestational HTN with proteinuria after 20 weeks. Eclampsia -convulsions/seizures

6

Hepatic system

Increased micro vascular fat deposition in liver. Liver damage
Subcapsular hematoma
rUQ epigastric pain
HELLP

7

HELLP

Hemolysis
Elevated
Liver enzymes
Low
platelets

8

Renal system

Decreased perfusion
Decreased GFR
Proteinuria
Fluid moves into intravascular space
EDEMA

9

Coagulation

Cascade activated
Thrombocytopenia
Plts <100,000

10

CNS

EDEMA
Cerebral hemorrhage
Hyperreflexia
Severe headaches

11

Ophthalmic

Retinal arterial spasm
Blurring
Double vision
Photophobia

12

PULMONARY

EDEMA
Volume overload
Extremely high vascular resistance

13

Multi system disorder

Pregnancy specific syndrome of reduced organ perfusion secondary to vasospasm and endothelial activation

14

Maternal risks for pre-e

Pulmonary EDEMA
CHF
Hepatic failure
Renal failure
Abrupto placenta
Cerebral edema
CVA
DIC