Purpose: Tp classify hypertension occurring during pregnancy based the clinical and physical findings.     Citations with documentation. 15.01.05     Sriram & Svirbely 1998
 
data enter  
Is the patient a woman of child-bearing age? (Y or N) :-):-):-)  
Is the patient currently pregnant? (Y or N) :-):-):-)  
What is the week of the gestation? week of gestation  
     
  systolic pressure diastolic pressure  
blood pressure when nonpregnant mm Hg  
first measurement of blood pressure mm Hg  
second measurement of blood pressure mm Hg  
     
Were the 2 blood pressure readings during pregnancy taken more than 6 hours apart? (Y or N) :-):-):-)  
Is urine protein measured by dipstick (D) or quantitated (Q)? (enter D or Q) :-):-):-)  
first urine measurement in mg per 24 hours mg per 24 hours  
first urine measurement in mg per 24 hours mg per 24 hours  
     
:-):-):-)      
  :-):-):-) :-):-):-) :-):-):-) :-):-):-) :-):-):-) :-):-):-)    
:-):-):-) Yes 4
  :-):-):-) :-):-):-) :-):-):-) :-):-):-) :-):-):-) :-):-):-)    
:-):-):-) Yes 4
 
Were the urine protein measurements taken more than 6 hours apart? (Y or N) :-):-):-)  
urine output in mL per 24 hours mL per 24 hours  
Does the patient have peripheral edema? (Y or N) :-):-):-)  
Does the patient have pulmonary edema? (Y or N) :-):-):-)  
Is the patient cyanotic? (Y or N) :-):-):-)  
Does the patient have visual disturbances? (Y or N) :-):-):-)  
Does the patient show mental changes (cognition, confusion, etc.)? (Y or N) :-):-):-)  
Has the patient had seizures related to hypertension? (Y or N) :-):-):-)  
 
calculate result  
data complete? Yes  
evaluation appropriate? Yes :-):-):-)
data appropriate? Yes :-):-):-)
c/w chronic hypertension? No  
c/w transient hypertension? No  
c/w pre-eclampsia? Yes  
c/w pre-eclampsia superimposed on chronic hypertension? No  
c/w severe pre-eclampsia? Yes  
c/w eclampsia? No  
 
 
subparts for pre-eclampsia  
blood pressure test Y  
proteinuria test Y  
edema test N  
 

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