Shared Flashcard Set

Details

OB Test 3
HTN D/Os
31
Nursing
Undergraduate 4
04/13/2010

Additional Nursing Flashcards

 


 

Cards

Term
Normal pregnancy cardiac changes
Definition
Increased vol and HR
Decreased BP and SVR
Term
Pulmonary changes
Definition
Higher diaphragm
Increased RR
Increased O2 capacity
Term
Clotting changes
Definition
Increased prothrombin and fibrinogen
Decreased fibrinolysis
Term
Renal changes
Definition
Increased GFR
Decreased BUN/Creatinine
Term
Risk factors
1. Maternal
2. Preg
3. Med
4. Paternal
Definition
1. Maternal: Primi, not 25-35, african
2. Preg: UTI, donor, multifetal
3. Med: HTN, DM, thombphlebitis
4. Paternal: 1st time, hx preeclampsia
Term
Gestational HTN
Definition
No proteinuria >20 wks
140/90 2 occasions, 6h apart
Cuff size, trimester, position
Term
Transient v chronic gestational HTN
Definition
1. Transient: Asymp, WNL 12 wk pp
2. Chronic: Persists 12 wk pp
Term
Preeclampsia
Definition
HTN Triad: >20 wk, proteinuria, edema

Spots, pedal edema, low platelet, R epi pain
Term
Dx preeclampsia
Definition
24h urine
>3g (300 mg)
1+ on UA
Term
Vascular damage d/t preeclampsia
Definition
DON'T limit fluids! Vessels are dry

Only limit with CHF/Pulm edema
Term
Pre-EC: Brain/CNS damage
Definition
H/A, clonus, LOC, eclampsia, CVA
Term
Pre-EC: Eyes
Definition
Temporary blindness
Term
Pre-EC: Pulmonary
Definition
Pulmonary edema- pink frothy sputum
Term
Pre-EC: Hepatic
Definition
N/V, HELLP, liver rupture
Term
Pre-EC: Placenta
Definition
Poor flow, premature aging
Oligio, abruptio, IUGR
Term
Pre-EC: Renal
Definition
Low GFR, C. clearance
Olig/proteinuria
Increased BUN/Creatinine
Term
Pre-EC: Heme
Definition
Hemoconcentration
Low platelets
Low fibrinogen
HRF DIC
Term
Pre-EC needs ___ DX and won't be better until ___.
Definition
Early; delivery
Term
Pre-EC care
Definition
800-1,000 ml/day
DFMC
Bed rest
Term
Severe Preeclampsia
Definition
>160/110
Proteinuria 3/4+ or >5g/24 h
Pulm edema, IUGR, oligio
Term
Severe Pre-EC dx
Definition
PIH Panel
BPP NST
Fetal US
Term
PIH panel (3)
Definition
1. CBC (Platelet, HH)
2. CMP (LFT, uric acid, BUN/creat)
3. 24 h urine
Term
Severe pre-EC care
Definition
Daily wt
Seizure prec.
MgSO4
Term
In pre-EC, we intervene if:
1. Fetal
2. Maternal
Definition
1. Fetal: IUGR, bad FHR, oligio
2. Maternal: >38 wk, placenta >100,000, severe H/A/visual, epigastric/N/V
Term
In pre-EC, we ___ perform a ___ ___!
Definition
Always; Vaginal delivery
Term
Mag Sulfate administration
Definition
Prevents pre-EC seizures

IVPB, loading dose 6g/30 min
<2 mg/dL (therap is 4-8)
DON'T give w/ Clindamycin
Every h: I/O, DTR, VS'
Term
Stopping MgSO4
Definition
N/V
Resp distress <12
Weakness

Give Ca gluconate
Term
Meds for HTN in pregnancy (6)

Pregnant Ladies Need An Active Newborn
Definition
1. Procardia
2. Labetolol
3. Nicardipine
4. ACEs
5. Apresoline
6. Nipride
Term
Care for eclampsia
Definition
Patent airway
Prolonged decels, min variab is bad
O2
Term
HELLP Syndrome
Definition
Later pregnancy D/T pre-eclamp
Epi pain, new N/V

Hemolytic anemia
Elevated
Liver enzymes
Low
Platelet (Wont buildup til after deliv)
Term
More HTN tx
Definition
Ca supplementation
Low dose ASA
Ambulatory BP Monitoring
Supporting users have an ad free experience!