Acute onset severe hypertension checklist
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This document provides a checklist for treating acute-onset, severe hypertension during pregnancy or postpartum. It outlines four steps: 1) diagnose severe hypertension based on blood pressure thresholds, 2) call for help and assign nursing roles, 3) treat by administering anti-hypertensive medications like labetalol, hydralazine, or nifedipine and monitoring closely, 4) provide seizure prophylaxis by assessing reflexes, magnesium levels, and respiratory rate. The goal is emergent therapy for acute hypertension to prevent maternal and fetal complications.
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Hypertension during pregnancy
- Hypertension is a common medical disorder during pregnancy and can take several forms, including chronic hypertension, gestational hypertension, preeclampsia, and eclampsia.
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1) The document discusses the management of pre-eclampsia and eclampsia. It outlines goals of treatment, definitions, assessments, and principles of management including controlling blood pressure, preventing seizures with magnesium sulfate, fluid management, and timing of delivery.
2) Magnesium sulfate is the primary treatment for preventing and controlling seizures, with protocols for loading doses and maintenance doses as well as monitoring for toxicity.
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The document defines and describes hypertensive disorders of pregnancy including chronic hypertension, gestational hypertension, preeclampsia, eclampsia, and chronic hypertension with superimposed preeclampsia. It discusses risk factors, maternal and fetal complications, definitions, and prevention and treatment strategies for preeclampsia including recommended drugs, dosages, and monitoring of treatment. Magnesium sulfate is recommended for seizure prophylaxis in preeclampsia. Treatment of severe preeclampsia involves careful blood pressure control and multidisciplinary management in an obstetric high dependency unit.
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Hypertension during pregnancy
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Severe Sepsis
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- Treatment involves general management to prevent hypoxia and trauma, control of severe hypertension, prevention of recurrent seizures through magnesium sulfate administration, and prompt delivery.
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- Magnesium sulfate is the primary treatment for preventing seizures in preeclampsia and eclampsia.
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This document discusses shoulder dystocia, a potentially dangerous childbirth complication where the baby's shoulder gets stuck behind the public bone. It occurs in about 1% of births. Risk factors include large baby size, diabetes, and previous similar complications. Potential issues include brachial plexus injuries, fractures, brain damage, and rarely death for the baby or hemorrhage and tears for the mother. The goals of treatment are to disimpact the shoulder and prevent injury or asphyxiation. Recommended maneuvers include McRoberts position, suprapubic pressure, rotational techniques, and in some cases aggressive options like shoulder fracture if needed to deliver the baby quickly to prevent harm. Thorough documentation of the incident is also important
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- Cardiovascular disease is the leading cause of pregnancy-related deaths in the US, and racial disparities exist.
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- Preeclampsia is defined as new onset hypertension and proteinuria after 20 weeks of gestation.
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This document provides a 3-step checklist for recognizing and treating postpartum hemorrhage (PPH): 1) Call for help from the primary OB, chief resident, and anesthesia; 2) Identify and treat the cause of bleeding such as atony, laceration, or retained placenta using uterotonics, fluids, massaging the fundus, and a urinary catheter; 3) Assess the magnitude of blood loss by measuring estimated blood loss, sending labs, and transfusing packed red blood cells and fresh frozen plasma, considering a Bakri balloon or transfer to the operating room if bleeding continues after 10-15 minutes.
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2) Immediate postpartum or post-placental IUD insertion provides highly effective, long-acting contraception without interfering with breastfeeding.
3) Progestin-only contraceptive options like implants and Depo can be used shortly after birth while combined hormonal methods should generally be delayed until 6 weeks postpartum when breastfeeding.
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The document discusses variations and adaptations that can be made to the uterine balloon tamponade (UBT) procedure. It suggests using two condoms instead of one for added protection against breakage. If condoms are unavailable, a sterile glove can be used instead, though coverage may not be uniform. Another option is tying a second foley catheter to the outside of the UBT and placing both in the uterus, with the second catheter able to reveal if blood is collecting inside.
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Histololgy of Female Reproductive System.pptx
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
A Classical Text Review on Basavarajeeyam
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Ketone bodies and metabolism-biochemistry
This slide consists of all the topics of ketone . This can be used for exam purpose for writing about Diabetic keto acidosis etc . Thank you
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Learn about body grief and ways to cope with it. We will also explore methods to heal from this challenging experience.
Role of Mukta Pishti in the Management of Hyperthyroidism
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Top 10 Best Ayurvedic Kidney Stone Syrups in India
we have mentioned the best 10 ayurvedic Kidney Stone Syrups. You can check all these products and choose the best one for yourself.
Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Top Effective Soaps for Fungal Skin Infections in India
Swisschem Dermacare has mentioned the List of The Best Antifungal Soap In India 2022. All of these soaps are trusted by various Dermatology Experts.
Top-Vitamin-Supplement-Brands-in-India List
Swisschem Dermacare provides the Top 10 Vitamin Supplement Brands in India. To know more about us give us call at our official number
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
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Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
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Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
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Role of Mukta Pishti in the Management of Hyperthyroidism
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Top 10 Best Ayurvedic Kidney Stone Syrups in India
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Cell Therapy Expansion and Challenges in Autoimmune Disease
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Top Effective Soaps for Fungal Skin Infections in India
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Osteoporosis - Definition , Evaluation and Management .pdf
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Acute onset severe hypertension checklist
- 1. STEP 4: SEIZURE PROPHYLAXIS □ Assess deep tendon reflexes and respiratory rate □ Check serum magnesium levels Acute-onset, Severe Hypertension Checklist Diagnose Initial actions Treat STEP 3: TREAT □ 2 wide-bore IVs (16-18g) □ Vitals q1-2 min □ Monitor FHT □ Monitor urine output (hourly) □ Send stat labs: CBC, LFTs, Uric acid, INR, Fib □ Administer anti-hypertensive medication (within 30-60 min of confirmed severe hypertension): MEDICATION LABETALOL HYDRALAZINE NIFEDIPINE Initial dose Labetalol 20 mg IV bolus Hydralazine 5-10 mg IV bolus Nifedipine 10 mg PO → Recheck BP If BP remains elevated After 10 min; labetalol 40 mg IV bolus After 10 min; labetalol 80 mg IV bolus After 10 min; hydralazine 10 mg IV bolus After 20 min; hydralazine 10 mg IV bolus After 20 min; labetalol 20 mg IV bolus After 10 min; labetalol 40 mg IV bolus After 20 min; nifedipine 20 mg PO After 20 min; nifedipine 20 mg PO After 20 min; labetalol 20 mg IV bolus → Consult: MFM/Anesthesia/ICU/Internal medicine STEP 1: DIAGNOSE □ SBP ≥160 mm Hg, and/or □ DBP ≥110 mm Hg (persistent for >15 min) STEP 2: CALL FOR HELP □ OB Rapid Response □ Assign nursing roles Administer magnesium sulfate, 4-6 g IV bolus (over 20 min) Maintenance dose = 1-2 g/h IV infusion 1) Emergent therapy for acute-onset, severe hypertension during pregnancy and the postpartum period. ACOG Committee Opinion No. 767. American College of Obstetricians and Gynecologists. Obstet Gynecol 2019;133:e174-80 2) Preeclampsia Toolkit: Improving Health Care Response to Preeclampsia (California Maternal Quality Care Collaborative Toolkit to Transform Maternity Care). 2014