Important Collection for PLAB
Preeclampsia → HTN + Proteinuria > 0.3 g/24 hr after 20th week gestation.
Preeclampsia → HTN + Proteinuria > 0.3 g/24 hr after 20th week gestation.
Gestational Hypertension → New hypertension after 20th week gestation without significant proteinuria (i.e. proteinuria < 0.3 g/24 hr).
Eclampsia → Preeclampsia + Fits (Seizures) “fits can rarely occur solely”
Hyperemesis gravidarum → Severe/ prolonged Nausea and Vomiting in a pregnant woman between the weeks 8-12 of gestation (may continue up to 20 weeks).
√ Example, Female presents at 25 weeks gestation with HTN and proteinuria (0.5 g/ 24hr) → Preeclampsia.
√ Example, Female presents at 25 weeks gestation with first time HTN and proteinuria (0.2 g/ 24hr) → Gestational hypertension.
◙ Quick points on management:
√ Preeclampsia, gestational HTN → Labetalol
√ Eclampsia → Magnesium sulphate (for ongoing fits and to prevent fits). A further bolus can be given.
√ Hyperemesis gravidarum → IV fluids (for dehydration) → Antiemetics (cyclizine, promethazine), still? IV antiemetics (ondansetron, metoclopramide).
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