PREGNANCY INDUCED
HYPERTENSION
Your go-to hub for high-quality nursing
note,
summary and exam preps
Tutor Sammy
Samuelwanjiru084@gma
, PREGNANCY INDUCED
GESTATIONAL HYPERTENSION
Preeclampsia does not develop and hypertension resolves by
HYPERTENSION 12 th week postpartum.
Blood pressure reach 140/90mmHg or greater for the first time
Course Outline after Midpregnancy but proteinuria is not identified. Half of
these patient subsequently develop preeclampsia syndrome.
TYPES OF PIH
DIAGNOSIS OF HYPERTENSIVE DISORDERS Gestational hypertension is reclassified by some as “transient
GESTATIONAL HYPERTENSION hypertension” if evidence for preeclampsia does not develop
PRE-ECLAMPSIA and blood pressure returns to normal by 12 weeks postpartum.
PREECLAMPSIA SUPERIMPOSED ON CHRONIC
HYPERTENSION PRE-ECLAMPSIA
RISK FACTORS
Summary:
ETIPATHOGENESIS
PHENOTYPIC EXPRESSION OF PREECLAMPSIA
▪ Hypertension, proteinuria, edema
SYNDROME
▪ The new onset of htn and proteinuria or htn and
ETIOLOGY
endorgan dysfunction with or without proteinuria.
PATHOGENESIS
PATHOPHYSIOLOGY ▪ Caused by placental and maternal vascular and always
PREDICTIVE TESTS resolves after delivery
ECLAMPSIA ▪ Increase risk of cardiovascular disease
OBSTETRIC MEASURE ▪ Increases in systolic and diastolic blood pressure can
PREVENTION be either normal physiological changes or signs of
EARLY DIAGNOSIS OF PREECLAMPSIA developing pathology.
EVALUATION OF PREECLAMPSIA
CLINICAL MANAGEMENT OF PREECLAMPSIA It is described as pregnancy-specific that can affect virtually
MANAGEMENT CONSIDERATIONS OF every organ system. Much more than gestational hypertension
PREECLAMPSIA with proteinuria, appearance of proteinuria remains an
LONGTERM CONSEQUENCES important diagnostic criterion. Other diagnostic criteria are the
following: thrombocytopenia, renal dysfunction, hepatocellular
necrosis, CNS perturbations, and pulmonary edema.
TYPES OF PIH:
(1) Preeclampsia and eclampsia syndrome INDICATORS OF PREECLAMPSIA SEVERITY
(2) Chronic hypertension of any etiology
Headaches or visual disturbances such as scotomata
(3) Preeclampsia superimposed on chronic hypertension
can precede eclampsia
(4) Gestational hypertension
Epigastric pain or RUQ pain accompanies
hepatocellular necrosis, ischemia, and edema.
DIAGNOSIS OF HYPERTENSIVE DISORDERS Accompanied by elevated serum hepatic
Hypertension is diagnosed when blood pressure exceeds transaminase levels.
140mmHg systolic or 90mmHg diastolic. Eclamptic seizures Thrombocytopenia. Represents platelet activation and
develop in some whose blood pressure have stayed below aggregation as well as microangiopathic hemolysis.
140/90mmHg. A sudden rise in mean arterial pressure but still Renal or cardiac involvement Obvious fetal-growth
in normotensive – “delta hypertension” – may signify restriction Early-onset disease.
preeclampsia
Delta Hypertension is when there is an acute rise in blood
pressure. Some women will go on to have obvious
preeclampsia, and some develop eclamptic seizures or HELLP
while still in normotensive.
TUTOR SAMMY
For more info:
HYPERTENSION
Your go-to hub for high-quality nursing
note,
summary and exam preps
Tutor Sammy
Samuelwanjiru084@gma
, PREGNANCY INDUCED
GESTATIONAL HYPERTENSION
Preeclampsia does not develop and hypertension resolves by
HYPERTENSION 12 th week postpartum.
Blood pressure reach 140/90mmHg or greater for the first time
Course Outline after Midpregnancy but proteinuria is not identified. Half of
these patient subsequently develop preeclampsia syndrome.
TYPES OF PIH
DIAGNOSIS OF HYPERTENSIVE DISORDERS Gestational hypertension is reclassified by some as “transient
GESTATIONAL HYPERTENSION hypertension” if evidence for preeclampsia does not develop
PRE-ECLAMPSIA and blood pressure returns to normal by 12 weeks postpartum.
PREECLAMPSIA SUPERIMPOSED ON CHRONIC
HYPERTENSION PRE-ECLAMPSIA
RISK FACTORS
Summary:
ETIPATHOGENESIS
PHENOTYPIC EXPRESSION OF PREECLAMPSIA
▪ Hypertension, proteinuria, edema
SYNDROME
▪ The new onset of htn and proteinuria or htn and
ETIOLOGY
endorgan dysfunction with or without proteinuria.
PATHOGENESIS
PATHOPHYSIOLOGY ▪ Caused by placental and maternal vascular and always
PREDICTIVE TESTS resolves after delivery
ECLAMPSIA ▪ Increase risk of cardiovascular disease
OBSTETRIC MEASURE ▪ Increases in systolic and diastolic blood pressure can
PREVENTION be either normal physiological changes or signs of
EARLY DIAGNOSIS OF PREECLAMPSIA developing pathology.
EVALUATION OF PREECLAMPSIA
CLINICAL MANAGEMENT OF PREECLAMPSIA It is described as pregnancy-specific that can affect virtually
MANAGEMENT CONSIDERATIONS OF every organ system. Much more than gestational hypertension
PREECLAMPSIA with proteinuria, appearance of proteinuria remains an
LONGTERM CONSEQUENCES important diagnostic criterion. Other diagnostic criteria are the
following: thrombocytopenia, renal dysfunction, hepatocellular
necrosis, CNS perturbations, and pulmonary edema.
TYPES OF PIH:
(1) Preeclampsia and eclampsia syndrome INDICATORS OF PREECLAMPSIA SEVERITY
(2) Chronic hypertension of any etiology
Headaches or visual disturbances such as scotomata
(3) Preeclampsia superimposed on chronic hypertension
can precede eclampsia
(4) Gestational hypertension
Epigastric pain or RUQ pain accompanies
hepatocellular necrosis, ischemia, and edema.
DIAGNOSIS OF HYPERTENSIVE DISORDERS Accompanied by elevated serum hepatic
Hypertension is diagnosed when blood pressure exceeds transaminase levels.
140mmHg systolic or 90mmHg diastolic. Eclamptic seizures Thrombocytopenia. Represents platelet activation and
develop in some whose blood pressure have stayed below aggregation as well as microangiopathic hemolysis.
140/90mmHg. A sudden rise in mean arterial pressure but still Renal or cardiac involvement Obvious fetal-growth
in normotensive – “delta hypertension” – may signify restriction Early-onset disease.
preeclampsia
Delta Hypertension is when there is an acute rise in blood
pressure. Some women will go on to have obvious
preeclampsia, and some develop eclamptic seizures or HELLP
while still in normotensive.
TUTOR SAMMY
For more info:
