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Gestational HTN Definition
Begins after the 20th Is GH with the addition of Consist of BP 160/100 mmHg or week of pregnancy, proteinuria of 1 to 2 + and greater, proteinuria 3 to 4+, oliguria, describes hypertensive a weight gain of more than elevated serum creatinine greater disorders of pregnancy 2 kg or 4.4lb per week, in than 1.2mg per dL, celebral or visual whereby the woman the second and third disturbances (headache and blurred has an elevated blood trimester. Mild edema will vision), hyperreflexsia with possible pressure at also begin to appear at the ankle clonus, pulmonary or cardiac 140/90mmHg or upper extremities or face. involvement, extensive peripheral greater, or a systolic edema, hepatic disfunction, increase of 30mmHg or epigastric and right upper quadrant a diastolic increase of pain and thrombocytopenia 15mmHg from the pregnancy baseline. There is no proteinuria or edema. The clients BP returns to baseline by 6 weeks postpartum
Ecclampsia HELLP Syndrome Is severe preeclampsia symptoms, along Is the variant of GH in which with the onset of seizure activity or hematologic conditions coexist with coma. Usually preceded by headache, severe preeclampsia involving hepatic sever epigastric pain, hyperreflexsia, and dysfunction. Diagnose by laboratory test hemoconcentration which are warning not clinically. signs of probable convulsion H- hemolysis resulting in anemia and jaundice. El –Elevated of liver enzymes resulting in alanine aminotransferase (ALT) or aspartate transaminase (AST), epigastric pain, and nausea and vomitting, LP- low platelets (<100,000/mm3), resulting in thromboctopenia, abnormal bleeding and clotting time, bleeding gums, petechiae and DIC