preeclampsia.pdf - ACTIVE LEARNING TEMPLATE System Disorder Jen Forbes STUDENT NAME Preeclampsia DISORDER\/DISEASE PROCESS REVIEW MODULE CHAPTER

preeclampsia.pdf - ACTIVE LEARNING TEMPLATE System Disorder...

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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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