Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2
Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2
Preeclampsia With Severe Features, Eclampsia, and Hypertensive Issues17Agatha s. Critchfield ami Asha I. HeardAcute hypertension in pregnancy is a sev Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2vere obstetric complication that requires immediate evaluation and treatment. Tt can occur in the context of a variety of disorders of pregnancy and is associated with significant maternal and fetal morbidity and potential mortality. I Typertension in pregnancy can occur along a spectrum as noted in Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2 fable 17.1.The spectrum of pregnancy-related hypertensive disorders frequently presenting with acute changes in blood pressure control will be presenEbook Obstetric triage and emergency care protocols (2nd edition): Part 2
ted. The common presenting symptomatology, the initial steps in maternal/fetal evaluation (history, physical examination, and laboratory evaluation), Preeclampsia With Severe Features, Eclampsia, and Hypertensive Issues17Agatha s. Critchfield ami Asha I. HeardAcute hypertension in pregnancy is a sev Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2e features, and possible imitators of HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome will be discussed.DEFINITIONSHypertension in pregnancy, otherwise known as gestational hypertension (GHTN), is defined as a systolic blood pressure level of 140 mmHg or greater and a diastolic Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2 blood pressure level of 90 mmĩĩg or greater (National High Blood Pressure Education Program Working Group, 2000). Severe hypertension is defined as pEbook Obstetric triage and emergency care protocols (2nd edition): Part 2
ersistent systolic blood pressure of 160 mmHg or greater or diastolic blood pressure of 110 mmT Tg or greater. Severe hypertension is associated with Preeclampsia With Severe Features, Eclampsia, and Hypertensive Issues17Agatha s. Critchfield ami Asha I. HeardAcute hypertension in pregnancy is a sev Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2nd placental abruption with subsequent fetal compromise (Magee & von Dadclszcn, 2009). Of note, elevated systolic blood pressure has been more strongly associated with maternal cerebral vascular accident than diastolic blood pressure (Marlin et al., 2005).As many as 25% of women with GHTN will go on Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2 to develop preeclampsia (Saudan, Brown, Buddle, & Jones, 1998), which is defined as persistent hypertension diagnosed after 20 weeks gestation with tEbook Obstetric triage and emergency care protocols (2nd edition): Part 2
he addition of proteinuria or evidence of end-organ damage, or both. Preeclampsia occurs in 3% to 10% of all pregnancies (Haddad & Sibai, 2009) and isPreeclampsia With Severe Features, Eclampsia, and Hypertensive Issues17Agatha s. Critchfield ami Asha I. HeardAcute hypertension in pregnancy is a sev Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2ed Hypertension SpectrumDISORDERDEFINITIONGHTNPersistent hypertension without proteinuria noted in previously normotensive patient after 20 weeks gestationPreeclampsiaPersistent hypertension after 20 weeks gestation with either proteinuria or end-organ dysfunction, or both. See Exhibit 17.1 for labo Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2ratory evidence of end-organ damage and signs of preeclampsia with severe featuresChronic hypertensionHypertension predating the pregnancy/noted priorEbook Obstetric triage and emergency care protocols (2nd edition): Part 2
to 20 weeks gestationEclampsiaOccurrence of seizures not attributable to other causes in patient with preeclampsiaGHTN. gestational hypertension.SourPreeclampsia With Severe Features, Eclampsia, and Hypertensive Issues17Agatha s. Critchfield ami Asha I. HeardAcute hypertension in pregnancy is a sev Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2Diagnosis of Preeclampsia With Severe Features1’iccdampsia is considered to have severe features if one or more of the following is present:1Systolic blood pressure 2:160 or diastolic blood pressure 2:110 on two occasions at least 4 hr apart when patient is on bed rest2New onset cerebral or visual d Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2isturbances31’ulmonarv edema4Epigastric or right upper quadrant pain5Impaired liver function (aspartate aminotransferase [ASTI or alanine aminotransfeEbook Obstetric triage and emergency care protocols (2nd edition): Part 2
rase [ATT] twice normal concentration)6Thrombocytopenia (platelets <100,000/mcL)7Progressive renal insufficiency (serum creatinine >1.1 mg/dĩ. or a doPreeclampsia With Severe Features, Eclampsia, and Hypertensive Issues17Agatha s. Critchfield ami Asha I. HeardAcute hypertension in pregnancy is a sev Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2ologists [ACOG], 2013). 1’reedampsia is noted to have severe features if a variety of signs or symptoms indicating evolving endothelial dysfunction are present (see Exhibit 17.1; ACOG, 2013). Potential fetal effects of hypertensive disorders in pregnancy include placental dysfunction manifested as p Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2oor fetal growth, oligohydramnios, nonreactive fetal heart rate testing, abruption, and intrauterine fetal demise.Further on the spectrum of hypertensEbook Obstetric triage and emergency care protocols (2nd edition): Part 2
ive disorders of pregnancy is eclampsia (occurrence of seizures not attributable to other causes in a patient with preeclampsia). In addition, preeclaPreeclampsia With Severe Features, Eclampsia, and Hypertensive Issues17Agatha s. Critchfield ami Asha I. HeardAcute hypertension in pregnancy is a sev Ebook Obstetric triage and emergency care protocols (2nd edition): Part 2rs for Preeclampsia1Nulliparity2Teen pregnancyPreeclampsia With Severe Features, Eclampsia, and Hypertensive Issues17Agatha s. Critchfield ami Asha I. HeardAcute hypertension in pregnancy is a sevGọi ngay
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