Medicine an Surgery notes

Apr 24th, 2015
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PROTOCOL FOR MANAGEMENT OF HYPERTENSION INPREGNANCY (HIP)Hypertension in pregnancy (HIP) is elevated blood pressure in pregnancy or within12weeks with or without proteinuria observed on 2 occasions at least 6 hours apartThe protocols coverManagement of mild chronic HIP (Protocol A)Management of severe chronic HIP (Protocol A)Management of mild pre eclampsia (Protocol B)Management of severe pre eclampsia (Protocol C)Management of delivery in severe pre eclampsia (Protocol D)Management of eclampsia (Protocol E)Management of HIP is preceded with a comprehensive assessment of patients suspected tohave HIP using a seven (7) step process:-1.STEP ONE:Confirmation of Hypertension2.STEP TWO:Classification of Hypertension3.STEP THREE:Assessment of Severity Of Hyppertension4.STEP FOUR:Assessment for Aetiological Factor(s)5.STEP FIVE:Assessment of heamodynamic type6.STEP SIX:Assessment of Gestation period7.STEP SEVEN:Assessment of Cervical Ripeness (BishopScoring)1SEVEN STEP PROCESS OF ASSESMENT OF PATIENTS WITH HIP(Hypertension in pregnancy)Step OneAssessment of elevated Blood Pressure.Assess for one of the following x 6 criteriaa) Systolic Bp equals or more than 140mmHgb) Diastolic BP equals or more than 90mmHc) Systolic BP rise by 30mmHg above non pregnant leveld) Diastolic BP rise by 15mmHg above non pregnant levele) Mean Arterial pressure (MAP) equals or more than 105mmHgf)

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