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HELLP Syndrome
-what does the acronym stand for
-describe it
HELLP: Hemolysis, Elevated Liver enzymes, Low Platelets
HELLP is a variant chronic hypertension with superimposed eclampsia.Hematologic abnormalities exist withsever gestational hypertension
- H( resulting in anemia or jaundice)
- EL(resulting in ALT levels, epigastric pains, nausea and vomiting.
- LP( resulting in thrombocytopenia, abnormal bleeding and clotting time, bleeding gums, petechiae and possibly DIC)
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Ectopic Pregnancy
implantation of fertilized ovum outside the uterus
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Criteria for Preclampsia review pg 260 table 13-4
epigastric pain, BP elevation, proteinuria,oliguria, vertebral or visual disturbances, impaired liver function, thrombocytopenina, pulmonary signs, Development of HELLP Sydrome
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causes of spontaneous abortion
- genetic defects
- defective implantation uterine fibroids
- maternal factor or chronic conditions
- deficiencies or abnormalities in reproductive system
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cervical clerage
the use of sutures to close an incompetent cervix to prevent it from opening as growing fetus presses against it
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spontaneous abortion is called a ___.
miscarriage
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what drug is givin to stop cell division in an ectopic pregnancy
-precautions of drug
- methotrexate
- photosensitivity so limit sun exposure, and avoid alcohol use with it
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does DIC occur as a primary or secondary disorder
secondary to a previous complication
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DIC occurs secondary to the the following conditions
- abruption placentae
- retained dead fetus
- hemorrhagic shock
- septic abortion
- gestational hypertension
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this drug is contradicted in DIC
Heparin
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WHICH TYPE HYPERTENSION AM I?
BP exceeding 140/90 without protein uria. this hypertension start after 20th week of pregnancy, BP usually returns to normal 6 weeks postpartum
Gestational hypertension
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WHICH TYPE OF HYPERTENSION AMI I?
GH without proteinuria, there is a gradual loss of angiotensin II resulting in vasospasms
preeclampsia
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WHICH TYPE OF HYPERTENSON AM I?
High BP before pregnancy or before 20th week of pregnancy, hypertension usually last more than 42 days postpartum
chronic hypertension
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WHICH TYPE OF HYPERTENSION AM I?
Occurrence of proteinuria or occurrence of thrombocytopenia and increased liver enzymes
preeclampsia with superimposed chronic hypertension
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preganacy in women with H should not go beyond __ weeks gestation bc of risk of ___ insufficiency.
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nursing interventions for mild -moderate GH
assess BP, restrict activity frequent rest periods, weigh pt in morning with empty bladder, assess FHR and deep tendon reflex
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systolic increase of30 mm hg and a diastolic increase of __ mm Hg above baseline places woman in high risk category
15
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this drug is given to parentally to prevent seizures to woman with GH and what s/s should u watch out for
its antedote?
- magnesium Sulfate- watch out for deep tendon reflex ad resp less than 12
- calcium gluconate
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what is hyperemesis gravidarum and what is the fetus at risk for if condition persist
interventions/
- excessive vomiting during pregnancy
- fetus at risk for IUGR replace fluid and electrolytes, weight monitoring PPI's and anti emetics with regards to pregnancy risk categories
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