Thrombocytopenia, impaired liver function, renal insufficiency, and pulmonary edema are all signs of what hypertensive disorder in pregnancy?
Preeclampsia with Severe features
True or False: Turning a patient to the left side has been known to greatly improve maternal outcomes related to hypertension?
False. What does improve outcomes?
True or False: Approximately 30,000 deaths annually are attributed to Maternal Hypertensive disorders.
True
If a patient was diagnosed with chronic HTN before she became pregnant and is now diagnosed with preeclampsia during her current pregnancy, what would she be diagnosed with?
Chronic HTN with Superimposed Preeclampsia
What organ systems (Mom) are most commonly affected by severe preeclampsia?
The brain, liver, kidneys, and blood clotting system
True or False: Maternal hypertension can occur at any point during pregnancy and during the postpartum period
True
What medication is commonly given to prevent seizures in women with preeclampsia?
Magnesium Sulfate
What IV medication can you expect to give as part of the OB Severe Hypertension Treatment Protocol?
Labetalol or Hydralazine
What would be the diagnosis of a patient whose BP was 150/90 at 22wk appointment and was 155/95 at a 24 wk appointment. She has no protein in her urine and has no signs or symptoms to report.
Gestational hypertension
If a woman with severe preeclampsia is far from her due date, what might doctors give her to help mature the baby's lungs before delivery?
Give her corticosteroids (betamethasone or dexamethasone)
Besides high blood pressure what are two key SYMPTOMS of preeclampsia with severe features?
Severe headache - new-onset, unresponsive to medication, not accounted for by other diagnosis AND/OR vision changes - blurry, flashing lights, blindness
What blood pressure is considered a sign of severe preeclampsia?
SBP >/= 160 or DBP >/= 110 on two occasions (typically confirmed within a short interval to facilitate timely antihypertensive therapy)
What is HELLP syndrome?
Hemolysis, Elevated Liver enzymes, Low Platelet count
As a standing order, what medication can be given if the patient has had 2 BP's >160/110 15 min apart?
Procardia
What would be the diagnosis of a patient whose BP is 145/100 and they are 12 weeks pregnant?
Chronic hypertension