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3268856
PRECLAMPSIA
Description
Mind Map on PRECLAMPSIA, created by dra.laura.morales on 24/08/2015.
Mind Map by
dra.laura.morales
, updated more than 1 year ago
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Created by
dra.laura.morales
almost 9 years ago
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Resource summary
PRECLAMPSIA
Hipertensión + proteinuria (c/sin edema) después 20a semana
Precoz, <20a semana, Gemelar, Enf. trofoblástica o hidrops fetal
EPIDEMIOLOGÍA
Frecuencia entre 1-5% de embarazos
ETIOLOGÍA
MULTIFACTORIAL
Maternos
Nuliparidad
Obesidad
AHF Preclampsia - eclampsia
Preclampsia previa
HAS, DM, IRC
Gestación múltiple
Placentarios
Defecto placentación
Fallo reorganización arterias espirales
CLÍNICA
> Resistencias vasculares
> Agregabilidad plaquetaria
Activación sistema coagulación
Disfunción endotelial
Endoteliosis glomerular
PROTEINURIA
300mg o + 24h, 30mg/dL, 1+ Tira reactiva
Edema extracelular
Edema pulmón
Hiperuricemia
Elevación Cr
Rotura hepática, o infarto
Dolor epigástrico, vómitos
Elevación transaminasas
HELLP
Hemolisis
> enzimas hepáticas
Plaquetopenia
Cerebral. cefalea frontal, fotopsias, escotomas, ceguera
CLASIFICACIÓN
TRATAMIENTO
Terminar gestación
Medidas generales
Dieta normosódica
Reposo relativo
Control TA, diuresis
HIPOTENSORES
TA: >150/>100
a-metildopa
Hidralacina
Labetalol
Nifedipino
Anticonvulsivantes
Sulfato Mg
Media attachments
3a902705-f998-4386-80cc-022238e18524 (image/png)
59be98c4-731e-4b3b-bdf6-69c2354c4026 (image/png)
cbab1296-0da4-4066-a250-a4fff8c31774 (image/png)
753a11e2-52cd-4508-8547-c00e05da407a (image/png)
81f07b87-a56b-49b1-a967-c8742a0dd139 (image/png)
5c67fca7-1372-4ecc-a4c0-100aab734668 (image/png)
5308f9f6-3ace-4ca1-a28d-0541c6541e56 (image/png)
6bc3c3fe-5948-45dc-8df2-1508c0a8664d (image/png)
b5e06d1d-3ec3-4a8f-8842-f46dbf989bf6 (image/png)
04173f49-028d-43ce-96f5-2a0322ee610b (image/png)
0c8728db-6492-4cbb-8880-85bd43a8b11f (image/png)
bb528c84-c973-406c-8d72-e6dc661b01b7 (image/png)
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