Pregnancy HTN
Be ready to manage SEVERE gestational hypertension
As a clinical pharmacist, you will see more emphasis on urgent treatment of women hospitalized with SEVERE gestational hypertension . Women with gestational hypertension have normal blood pressure (BP) before pregnancy, and develop BPs of at least 140/90 mmHg after 20 weeks' gestation. It's severe when acute-onset BPs reach 160/110 mmHg or higher. …
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Pregnancy HTN
Avoid ACE inhibitors in PREGNANT women
As a clinical pharmacist, you will be asked more, which blood pressure medications are safe to use during pregnancy? ✅ We avoid ACE inhibitors and ARBs because they can cause serious fetal injury or death when used during the second or third trimester. But their effects in the first trimester are more controversial. Some evidence links ACEI …
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Pregnancy HTN
Evaluate blood pressure during pregnancy
Questions will come up about managing gestational hypertension. These women with normal blood pressure before pregnancy who develop blood pressures of 140/90 mmHg or higher AFTER 20 weeks' gestation are at increased risk of premature birth, low birth weight, and infant or maternal death. We know to monitor for progression to preeclampsia ( hypertension over 140/…
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Hypertension Medications
Overview of hypertension
Introduction ― Hypertension is defined as persistently elevated arterial blood pressure (BP) or usual office blood pressure of 140/90 mm Hg or higher, but recent U.S. guidelines have changed the definition to 130/80. Normal blood pressure (BP) in adults: systolic BP < 120 mmHg and diastolic < 80 mmHg. According to NICE guidelines, hypertension (HTN) can be cla…
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Pregnancy HTN
Which anti-hypertensives are safe to use during pregnancy?
Uncomplicated hypertension usually isn't treated during pregnancy unless systolic blood pressure is over 160 or diastolic is over 100. Some anti-hypertensives are safer than others during pregnancy ... Labetalol is a good first-line option, either orally or IV. It is both an alpha- and beta-blocker, so it doesn't decrease fetal blood …
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