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DIC/ Disseminated Intravascular Coagulopathy

Treatment for DIC: Antidote:


◊ HEPARIN Protamine Sulfate
→ One of the complication of Abruptio
◊ WARFARIN
Placenta Vitamin K
→ Coagulation will go to the bleeding site,
then few rbc will left to the mother that
will cause easy bruising Causing increase
in Cardiac output
One of the signs and symptoms
Of DIC Vasospasm present in the
small and large artery

I. Hypertensive Disorder
1. PIH (Pregnancy Induced hypertension Types of PIH
→ Also called TOXEMIA or toxic in the blood ○ Gestational Causing:
→ Start at 20 weeks of gestation ○ Pre-Eclampsia → Increase BP (140/90)
→ Resolve at 6 weeks of postpartum ○ HELLP Syndrome → No proteinuria in the urine
2. Transitional HTN → No edema
3. Chronic Pre-existing → No damage to fetus
HTN Too much use of blood vessel
Will cause injury in the endothelial cell
a. Prostaglandin Of the arteries and reduces the section of Mgt:
( Vasodilation) prostacyclin → BP Monitoring

Excess production of thromboxane: Increase Blood Low Blood supply


a. Prostaglandin (Vasoconstriction) Vasoconstriction Pressure to the organs
= Platelet AGGREGATION - Brain
- Pancreas
Edema - Liver
- As more protein is lost - kidneys
Brain Liver Kidneys - There will be a continuous
decrease in osmotic
pressure of the circulatory
Vasospasm of system the fluid diffuses Pancreas
Low Perfusion Ischemia the kidney from circulatory system.
( Malapot na dugo sa
instertitial spaces
Increase flow Ischemia
Cerebral edema Liver edema resistance

Degenerative charges Increase amylase


Cerebral Irritability 1. Increase in permeability of the and
Epigastric pain glomerular membrane Creatinine Clearance
→ Allow Serum protein albumin and
globulin to escape in the urine =
PROTEINURIA
SEIZURE 2. Low Glomerular Filtration
HELLP SYNDROME → Low urinary output and clearance of Epigastric pain
urea = OLIGURIA
3. Increase in Kidney tubal
Reabsorption causing NA+
EQUALIZE PRESSURE= EXTREME
retention = EDEMA
EDEMA HELLP SYNDROME
CAUSING: MATERNAL CEREBRAL Soooo..
PULMONARY EMBOLISM
= SEIZURE

CMCA- Maam Din Page 1

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