PIH case study cross word

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Across
  1. 5. A pregnant woman came into the clinic at 36 weeks with high blood pressure. After a urine study, the protein level was found to be 0.5 g in a 24 hour sample. The patient was admitted.
  2. 7. After speaking to the doctor, the patient opted to have a c-section
  3. 9. The patient has swelling bilaterally in her lower extremities.
  4. 10. This test was completed to evaluate how much protein was in her urine.
  5. 12. The patient's foot was put in a dorsiflex position, and rhythmic contractions against this pressure were noted. This clinical sign of hyperreflexia was present.
  6. 13. The patient had one of these episodes, which lasted 130 seconds. Patient was given phenytoin. During this episode the patient's oxygen dropped to 84%.
  7. 15. This is one of the criteria that should be met to diagnose preeclampsia. A 24 hour urine sample was done on the patient and the results were 0.5 gm in a 24 hour urine specimen.
  8. 16. Patient has a blood pressure of 168/93
  9. 18. The patient complains of this symptom, which is common in preeclampsia and hypertension in general.
  10. 19. This lab value was 90,000, which is indicative of severe preeclampsia.
Down
  1. 1. The patient complained of blurry vision and seeing black spots.
  2. 2. Pulmonary edema due to preeclampsia was noted through crackles in the upper lobes.
  3. 3. Patient is given this medication to reduce the risk of seizures. She is given a loading dose of 4 gm over 20 minutes.
  4. 4. When admitted, the patient complained of this clinical manifestation, but mistook it for heartburn until reevaluated.
  5. 6. Patient is put on activity restriction to help her rest and prevent overworking and overstimulation. This will help prevent further seizures.
  6. 8. 1 gm is kept at the patient's bedside in case of Magnesium toxicity. This is the antidote for Magnesium toxicity.
  7. 11. The patient is being given this medication to lower her blood pressure.
  8. 14. AST and ALT levels were 85 IU/L. These are elevated because of hypoxia to the liver because of preeclampsia.
  9. 17. These must be checked when giving magnesium. Before the patient was given magnesium, her baseline was 2+, or normal for these. If this changes, it could be indicative of magnesium toxicity.