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Pre-eclampsia - Coggle Diagram
Pre-eclampsia
Diagnostics and assessments
BP
Deep tendon reflexes
Presence of proteinuria
Monitoring of fetal heart heart during pregnancy
Possible Doppler (uteroplacental perfusion)
Management
Strict bedrest or reduced activity
To prevent developing more severe hypertension and preterm births
Reduce stress levels from high-risk condition
Relaxation techniques
Assistance from friends and family for certain ADLs
Well-balanced diet
Limit high salt contents
Drinking 1,5-2L per day
Avoid alcohol and limit caffeine
Thorough monitoring for development of HELLP or severe pre-eclampsia
Calm environment with seizure precautions
Have calcium gluconate, magnesium sulphate, and antihypertensive immediately available
Magnesium sulphate is used to prevent and control seizures in pre-eclampsia and eclampsia
Recommendations for prevention in low-risk women
No smoking or alcohol
Multivitamins with folate and calcium supplements
Regular exercise
Defined as
A hypertensive disorder during or after the second trimester of pregnancy
Divided into
severe pre-eclampsia
Characterized by
Low urine output
new-onset proteiuria
Severe symptoms include
BP of 160/110 or greater
Hyperreflexia
Severe headache
Thrombocytopenia
Elevated serum creatinine
Hepatic dysfunction
Premature placental aging
Mild pre-eclmapsia
Mild symptoms include
BP 140/90 or greater
Elevated AST, ALT, LDH
happens because
Arterial vasospasms in mom's body decrease perfusion to all organs
Body increases BP as a response
Vessels become thick-walled and have higher resistence
Decreased placental perfusion and higher incidence of placental infarcts