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Prenatal Care, Hypertension, Weight Gain, and Preeclampsia

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The document discusses a first prenatal visit for a mother in her first trimester of pregnancy. It covers physical and emotional changes, tests done by the doctor, baby development, managing hypertension with medication, treating morning sickness, healthy eating and weight gain guidelines, exercise recommendations, and information on preeclampsia including risk factors, signs and symptoms, treatment options, and hyperemesis gravidarum.

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KRISTEN DOMINIK, KELLY LAWN, KELLY MAGOFFIN LEIGH SMYCZEK, JENNIFER TOWNSELL Case 3 Preconception Care #2
First Prenatal Visit for the First Trimester ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Management of CR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Weight Gain Monitoring ,[object Object],[object Object],Pre-pregnancy weight Recommended weight gain Underweight (BMI < 18.5) 28 to 40 pounds Normal Weight (BMI 18.5 to 24.9) 25 to 35 pounds Overweight (BMI 25 to 29.9) 15 to 25 pounds Obese (BMI >30) 11 to 20 pounds
Weight Gain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Weight Breakdown ,[object Object]
Gaining Too Much Weight ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Not Gaining Enough Weight ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Obesity and Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Guidelines For Weight Gain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Eating for two… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Increase Calories the Right Way ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Well Rounded Diet ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Not To Eat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exercise ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Not to Do ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is Preeclampsia? ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms
Increased Risk for Preeclampsia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Is CR Preeclamptic? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lisinopril and Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Is Used To Treat Preeclampsia? ,[object Object],[object Object],[object Object]
What Medications Are Used To Treat Preeclampsia? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Are Other Ways To Treat Preeclampsia? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Is Morning Sickness? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Is Morning Sickness Normal? ,[object Object],[object Object],[object Object]
Do’s And Don’ts Of Morning Sickness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Does Morning Sickness Cause Any Harm To The Baby? ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Difference Between Morning Sickness And Hyperemesis Gravidarum
What Is Hyperemesis Gravidarum (HG)? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Signs And Symptoms Of HG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Are Some Complications Of HG? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How Does HG Threaten Daily Living? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Are The Risk Factors For HG? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Protocol ,[object Object],[object Object],[object Object]
Medical Treatment ,[object Object],[object Object],[object Object],[object Object]
Serotonin Antagonists ,[object Object],[object Object],Highly selective antagonists of 5-HT3 receptors in the vagus, chemotrigger zone and gut. Mostly Class B drugs Ondansetron (Zofran) Granisetron (Kytril) Mirtazapine (Remeron) Palonosetron (Aloxi) Dolasetron (Anzemet)
Antihistamines ,[object Object],[object Object],Dimenhydrinate (Dramamine) Doxylamine (Diclectin) Diphenhydramine (Benadryl) Hydroxyzine (Vistaril) Trimethobenzamide (Tigan)
Antireflux Medications ,[object Object],[object Object],Ranitidine (Zantac) Famotidine (Pepcid) Lansoprazole (Prevacid) Cimetidine not recommended during pregnancy due to antiandrogenic effects in humans.
Metoclopramide (Reglan) ,[object Object],[object Object],[object Object],[object Object],Blocks dopamine receptors in the CTZ and increases the CTZ threshold & decreases the sensitivity of visceral nerves that transmit afferent impulses from the GI tract to the vomiting center. Class B Drug
Corticosteroids ,[object Object],[object Object],[object Object],[object Object],[object Object],Methylprednisolone Prednisone Hydrocortisone
 
Pharmacologic Therapy for Nausea and Vomiting in Pregnancy ,[object Object],Medication Dosage Preg. Category Pyridoxine 25mg PO TID A Doxylamine 25mg PO QD * Antiemetics Chlorpromazine 10-25mg PO 2-4x/day C Prochlorperazine 5-10mg PO 3-4x/day C Promethazine 12.5-25mg PO Q4-6H C Trimethobenzamide 250mg PO 3-4x/day C Ondansetron 8mg PO 2-3x/day B Droperidol 0.5-2mgIV or IM Q3-4H C Antihistamines Diphenhydramine 25-50mg PO Q4-8H B Meclizine 25mgPO Q4-6H B Dimenhydrinate 50-100mg PO Q4-6H B Motility Drug Metoclopramide 5-10mg PO 3x/day B Corticosteroid Methylprednisolone 16mg PO 3x daily; then taper C
Complementary and Alternative Medicine ,[object Object],[object Object],[object Object]
Non-Pharmacological Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-Pharmacological Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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