Class notes
NURS 663 OB, MEMSN USFCA_ Preeclampsia & Diabetes LECTURE & HIGHLIGHTS
- Course
- NURS663 (MATERNITY)
- Institution
- University Of San Francisco
NURS 663 OB, MEMSN USFCA_ Preeclampsia & Diabetes LECTURE & HIGHLIGHTS
[Show more]
Seller
Follow
Content preview
Preeclampsia-
A
disease
exclusive
to
pregnancy,
etiology
unknown
-
New-onset
hypertension
and
proteinuria
after
20
weeks
gestation
-
5-10%
of
all
pregnancies
-
One
of
the
leading
causes
of
maternal
mortality
and
morbidity
-
Syndrome
of
systemic
vasospasm
that
affects
both
mother
and
fetus
Continuum
of
HTN
in
pregnancy
-
HTN
-
GHTN
-
Preeclampsia
&
Preeclampsia
w
severe
features
-
Eclampsia
(had
a
seizure)
-
Chronic
HTN
with
superimposed
preeclampsia
-
H
emolysis
E
levated
L
iver
Enzymes,
L
ow
P
latelets=
HELLP
Syndrome
HTN
-
Before
20
weeks=
preexisting
-
After
20
weeks=
gestational
HTN
Preeclampsia
-
SBP
>/=
140
and
/
or
DBP
>/=
90
x
2
times
at
least
4-6
hours
apart
-
Proteinuria:
300
mg
in
24
hrs
B4
20
W
gestation
After
20
Weeks
Preeclampsia
Preeclampsia
w severe
features
CHTN
Gestational
HTN
Only
one
elevation
is needed
Only
need
to
have one
feature
to
be classified
SBP
>/=
140
or
DBP >/=
90
HTN
before
20
weeks or
persists
>
3
mo after
pregnancy
SBP
>/=140
or
DBP >/=90
SBP
>/=140
and
or DBP
>/=90
x
2
at least
4-6
hours
apart
Proteinuria:
300
mg in
24
hours
SBP
>/=
160
and
/
or DBP
>/=
110 Platelets
<
100,000 Serum
Creatinine
> 1.2
mg/dL Increased
LDH,
AST, ALT
Headache,
visual changes,
DTR’s
3
+
or 4+
RUQ
"heartburn”,
or epigastric
pain
often misdiagnosed Oliguria;
Proteinuria 5
g
/
24
hrs Pulmonary
edema Intra-Uterine
Growth Restriction
(IUGR) Risks
Factors
for
Preeclampsia
-
Prior
history
of
preeclampsia,
multifetal
gestations,
chronic
HTN,
pregestational
diabetes,
SLE,
OSA,
Nullip,
GM,
high
BMI,
AMA,
Thrombophilia,
IVF
Theory
of
Etiology
-
Spiral
Artery
-
Initial
trigger
may
be
failure
of
trophoblast
to
effectively
change
spiral
arteries,
poor
implantation
-
With
essential
vasospasm,
there
is
decreased
placental
perfusion
-
Red
things
are
toxins
→
they
cause
endothelial
damage
-
1.
Vasoconstriction
-
2.
Endothelial
damage
Eclampsia
-
Preeclampsia
with
seizures
not
attributable
to
other
causes
-
Periods
of
hypoxia
for
mother
and
fetus
-
Risk
of
aspiration
-
Other
risks:
CVA,
cerebral
edema,
anoxia,
coma,
maternal
death
-
Eclamptic
seizures
may
occur
before,
during,
or
after
delivery
(20-23
w,
2
w
PP,
during
delivery)
-
Late
postpartum
eclampsia=
48
hrs
to
6
weeks
-
All
about
PREVENTING
seizures
Vasospasm
+
Endotoxins
→
Symptoms
Brain
Headache,
change
LOC
Eyes
Visual
changes
(spots,
blurring)
Lungs
Pulmonary
edema,
fluid
Kidneys
Proteinuria:
can
be
caused
by
endothelial
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller poesierrama. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73243 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now