This document discusses mean arterial pressure (MAP) and the roll over test (ROT) as screening tools for potential preeclampsia in pregnant women between 16-24 weeks gestation. It provides the formulas for calculating MAP and outlines the screening process. Women with a MAP of 90 mmHg or higher, a positive ROT (diastolic blood pressure drops by 15 mmHg or more), or other risk factors should be monitored closely for signs of preeclampsia and managed accordingly.
This document discusses mean arterial pressure (MAP) and the roll over test (ROT) as screening tools for potential preeclampsia in pregnant women between 16-24 weeks gestation. It provides the formulas for calculating MAP and outlines the screening process. Women with a MAP of 90 mmHg or higher, a positive ROT (diastolic blood pressure drops by 15 mmHg or more), or other risk factors should be monitored closely for signs of preeclampsia and managed accordingly.
This document discusses mean arterial pressure (MAP) and the roll over test (ROT) as screening tools for potential preeclampsia in pregnant women between 16-24 weeks gestation. It provides the formulas for calculating MAP and outlines the screening process. Women with a MAP of 90 mmHg or higher, a positive ROT (diastolic blood pressure drops by 15 mmHg or more), or other risk factors should be monitored closely for signs of preeclampsia and managed accordingly.
BB / TB² BERAT BADAN DALAM KG 2 DIASTOLE + 1 SISTOLE / 3 TINGGI BADAN DALAM METER HASIL = < 16,5 : SEVERE UNDERWEIGHT EX : TENSI 110/70 16,5 - 18,5 : UNDERWEIGHT = 70 + 70 + 110 / 3 18,5 – 25 : NORMAL = 250 / 3 25 – 30 : OVERWEIGHT =83,3 30 – 35 : MODERATE OBESITY 35 – 40 : SEVERE OBESITY >40 : MORBID / MASSIVE OBESITY
BMI > 28,8 TRIMESTER 2 :MAP ≥ 90 mmHg
→ POTENSIAL P E → POTENSIAL P E
ALUR PENANGANAN PASIEN PRE
ROLL OVER TEST EKLAMSIA (ROT) HAMIL 16-24 MGG SKRINING P E : TEKNIK : 1. USIA ≤ 20 TH ATAU ≥ 35 TH 2. RIWAYAT : HT KRONIS, DM, KEL. JANTUNG, Bumil tidur miring, santai → TD diukur GINJAL Telentang → 5 menit → TD diukur 3. BMI > 29 kg/m² kembali 4. MAP ≥ 90 mm Hg RUMUS : 5. ROT ≥20 mmHg → 2x positif DOPPLER VELOCIMETRY A. UTERINA ( DV ) TD DIASTOLE saat miring – → RESISTENSI MENINGKAT PENANGANAN : DIASTOLE saat telentang → control di POLI PE 1. TIDUR MIRING Ex : 2. LDA (Low Dose Aspirin) : 80-150 mg, 1x/hr & Calk : 500-1000 g/hr i. 120/80 = 80 - 70 3. Kontrol Ulang 4 mgg→ eval ulang DV & (ROT + ii.100/70 = 10 mm Hg MAP) 4. BUKAN PE → control rutin tetap di POLI PE 5. PER → terminasi usia 37 mgg 6. PEB → konservatif atau terminasi kehamilan 7. EKLAMSIA → terminasi kehamilan HASIL : ≥ 15 mm Hg → ROT (+) Bila PEB & EKLAMSIA →INFUS RL + INJ SM → RUJUK ROT (+) 3X > → POTENSIAL P E