Unformatted text preview: ACTIVE LEARNING TEMPLATE: System Disorder Jen Forbes
STUDENT NAME______________________________________
Preeclampsia
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER____________ Alterations in
Health (Diagnosis) Pathophysiology Related
to Client Problem
arteries in the urterious do not widen to allow
for increase blood volume of the pregnancy
resulting in crease placental perfusion and
hypoxia It is diagnosed by the elevation of the
expectant mother’s blood pressure
usually after the 20th week of pregnancy. Health Promotion and
Disease Prevention
Increase client education and preventing
maternal and fetal complication like decrease
cerbral tissue perfusion and decrease tissue
perfusion to the baby ASSESSMENT SAFETY
CONSIDERATIONS Risk Factors Expected Findings Previous history of preeclampsia
Multiple gestation (i.e., pregnant with more than one baby)
History of chronic high blood pressure, diabetes, kidney disease or organ transplant
First pregnancy
Obesity, particularly with Body Mass Index (BMI) of 30 or greater. Calculate your BMI here.
Over 40 or under 18 years of age
Family history of preeclampsia (i.e., a mother, sister, grandmother or aunt had the disorder)
Polycystic ovarian syndrome
Lupus or other autoimmune disorders, including rheumatoid arthritis, sarcoidosis and multiple sclerosis
In-vitro fertilization
Sickle cell disease Laboratory Tests severe continuous headache
nausea
blurring of vision
Flashes of light or dots before the eyes
hypertension, proteinuria
facial edema, vomitting, hyperreflexia, seixures, jaundice,
RUQ epigastric pain Diagnostic Procedures liver enzyme test
serum creatinine, BUN, uric acid and magnesium
increases as renal function decrease
CBC
clotting studies
Chemistry profile Dipstick testing for proteinuria
24 hr urine collection for protein and creatinine
clearance
Non stress test, contraction stress test, biophysical
profile, and serial ultrasounds to assess fetal status
doppler blood flow anaylysis PATIENT-CENTERED CARE Complications Nursing Care Medications assess LOC
obtain pulse ox
monitor urine output
obtain daily weight
encourage lateral position
perform NST and daily kick count
instruct patient to monitor I&O
monitor vital signs especially BP Anti hypertensive
drugs:
methyldopa,
nifedipine,
hydralazine and
labetalol.
Anticonvulsants:
Magnesium
sulfate
and calcium
gluconate of
calcium chloride
for magnesium
toxicity Therapeutic Procedures
Administer Antihypertensive drugs,
Anti-convulsive agents as ordered.
administer oxygen
immediate C-section regardless of
gestational age for severs preeclampsia ACTIVE LEARNING TEMPLATES Seizure
precautions
have suction
equipment and
emergency drugs
and oxygen
available at all
times Client Education
maintain client on side lying. promote
non stimulating environment. Avoid
foods high in sodium, tobacco and
alcohol. limit caffeine. report signs
and symptoms such as vaginal
bleeding Interprofessional Care
collaborate with doctor so that up to
date information can be relayed.
collaborate with a dietitian so that a
diet plan can be formulated.
collaborate with the nurses on the
NICU so that mom can get up to date
information on baby placental
abruption,
decrease oxygen
to vital organs and
fetus ...
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