PRE ECLAMPSIA CAUSES || SIGN AND SYMPTOM || DIAGNOSIS || TREATMENT ~ Medical diseases and trems ,symptoms causes TREATMENT

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PRE ECLAMPSIA CAUSES || SIGN AND SYMPTOM || DIAGNOSIS || TREATMENT



 DEFINITION

                    It is a multi system disorder, in which hypertension develop after 20 week of gestation previously normotensive , non protein urine mother.

characteristics by

                                      1. protein urea 1+ = preeclampsia 

                                                              3+ = ECLAMPSIA

                                      2. Rise in BP - It is first observation .Range of BP is 140/90 mm/hg , diagnosis is more important ,variation about 30/15 mm/hg , MABP ˃20 MM/HG , BP monitoring 6th hourly.

          EDEMA less or physiology in pre eclampsia.

                         More or pathology eclampsia .

CLINICAL SIGN AND SYMPTOM 

      SIGN    

                  1. Most common sign increase BP 

                  2. Edema 

                  3. protein urea 

                  4. IUGR , oligohydramnios , abnormal weight gain .

  SYMPTOM 

                 1. Most common patient complain headache 

                 2. Epigastric pain 

                 3.oliguria , blurred vision , insomnia .

  In complicated condition hypertension develop haemorrhage develop HELLP Syndrome 

                     H- haemolysis  

                     E - Elevated liver enzyme 

                     P - LOW PLATELATE COUNT 

Serum uric acid is biochemical marker of pre eclampsia .

 DIAGNOSIS 

                - Physical examination {BP , Edema , weight }

                - Blood test { RBC , LFT , PLETLETE ,RFT,CBC}

                -USG 

                - ophthalmoscopy for vision 

                - protein urea { urine 24 hours } 

                - Roll over test { 28-32 week} {˃20 mm/hg}.

TREATMENT 

           * Rest to decrease oxygen demand and promote blood circulation

          * provide oxygen therapy if required .

          * Provide sedative for emotional stability .

          * High calorie high protein diet .

          * Do not use aspirin for the management .

 * DRUG OF CHOICE 

                Pre eclampsia management MgSo4 {magnesium sulfate }

                Chronic hypertension methyldopa

               hypertensive crisis   Labetalol

COMPLICATION 

            Eclampsia 

            CVA

           Acute renal failure 

         abruptio placentae

          Intra uterine death 

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