Notes in OG4.2 Hypertension in Pregnancy

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Published	10/04/2024	Proteinuria is defined as excretion of:{{c1::≥ 300 mg of protein in 24 hours, PCR >30 mg/mmol, or 2+ protein on urine dipstick::3}}
Published	10/04/2024	Difference between pregnancy induced and pregnancy aggravated hypertension → {{c1::Pregnancy aggravated hypertension has underlying hyperten…
Published	10/04/2024	Definition of preeclampsia → {{c1::hypertension, proteinuria ± pathological oedema or end-organ damage}}
Published	10/04/2024	Vascular theory of pre-eclamptic toxaemia → {{c1::trigger is a relative reduction in placental blood flow secondary to either abnormal …
Published	10/04/2024	Two theories on the cause of pre-eclamptic toxaemia → {{c1::vascular}} and {{c1::immune}}
Published	10/04/2024	The placental problem in pre-eclamptic toxaemia may be due to {{c1::ischemia/infarction}} or {{c1::large size (hyperplacentosis)}}
Published	10/04/2024	The immune theory of pre-eclamptic toxaemia says that pre-eclamptic toxaemia is secondary to {{c1::sperm alloimmunisation}} or&nbs…
Published	10/04/2024	Clinical criteria for severe pre-eclamptic toxaemia:- {{c1::BP ≥ 160/110}}- {{c1::CNS symptoms}}- {{c1::Hyperreflexia/clonus}}-&nb…
Published	10/04/2024	Biological criteria for severe pre-eclamptic toxaemia:- {{c1::Oliguria (≤ 500 mL in 24 hours)}}- {{c1::Proteinuria ≥ 5g in 24 hours}}- …
Published	10/04/2024	Fetal criteria for severe pre-eclamptic toxaemia:- {{c1::IUGR}}- {{c1::Oligohydramnios}}- {{c1::Abnormal fetal dopplers}}
Published	10/04/2024	{{c1::Steroids::RX}} may help ↑ platelets in HELLP syndrome
Published	10/04/2024	Blood pressure proteinuria should be checked {{c1::monthly}} until 28 weeks of pregnancy, then more frequently
Published	10/04/2024	Indication for uterine artery doppler studies for pre-eclamptic toxaemia → {{c1::Identified risk factors for pre-eclamptic toxaemia}},&…
Published	10/04/2024	Pre-eclamptic toxaemia treatment → {{c1::delivery of the fetus and placenta}}
Published	10/04/2024	Pre-eclamptic toxaemia at > 37 weeks → {{c1::deliver::next best step}}
Published	10/04/2024	Deliver if pre-eclamptic toxaemia {{c1::with severe features}} and < {{c1::34}} weeks of gestation
Published	10/04/2024	In patients with pre-eclamptic toxaemia, check blood pressure every {{c1::4 hours::timing}}, bloods (LFTs, uric acid and platelets)&nbs…
Published	10/04/2024	Indications for delivery in pre-eclamptic toxaemia:- {{c1::Term gestation}}- {{c1::uncontrollable hypertension}}- {{c1::↑ LFTs}}-&…
Published	10/04/2024	What is the use of antihypertensives in preeclampsia → prevention of {{c1::cerebrovascular problems}}
Published	10/04/2024	T/F Antihypertensives do not change the natural course of pre-eclamptic toxaemia.{{c1::T}}
Published	10/04/2024	Drugs to control acute severe hypertension in pregnancy (> 160/110){{c1::IV hydralazine}}{{c1::IV labetalol}}{{c1::Short acting oral nifedipin…
Published	10/04/2024	Drugs to control chronic hypertension in pregnancy (> 160/110){{c1::Oral methyldopa}}{{c1::Oral labetalol}}{{c1::Oral nifedipine}}
Published	10/04/2024	Do not reduce BP below {{c1::130/80}} in pregnant women with pre-eclamptic toxaemia because {{c1::it may reduce the already compromised feta…
Published	10/04/2024	Indications for magnesium sulphate in pre-eclamptic toxaemia:- {{c1::During labour and immediately postpartum in women with severe pre-eclam…
Published	10/04/2024	Signs of {{c1::Mg toxicity}}:Respiratory depression↓ deep tendon reflexes
Published	10/04/2024	Fluid balance in patients with pre-eclamptic toxaemia is usually {{c1::↓::↑/↓/⟷}}
Published	10/04/2024	{{c1::Aspirin::RX}} and {{c1::heparin::RX}} ↓ recurrent preeclampsia in women with thrombophilias
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