SIMS Maternity- Rona, Stacey, Maria.docx - Preeclamptic...

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Preeclamptic Seizure Purpose To provide students with the opportunity to assess, intervene, and manage a patient who progresses from severe preeclampsia to eclampsia (seizure). Overview Rona Berends, a 36-year-old gravida 1 para 0 Caucasian female at 38 weeks' gestation, was admitted to labor and delivery at 1600 on Friday with a diagnosis of preeclampsia. Magnesium sulfate and oxytocin infusions were started to induce labor. The scenario takes place early Saturday morning. During this scenario, students will have the opportunity to recognize the signs and symptoms of worsening preeclampsia and to prioritize and implement interventions for a patient who experiences an eclamptic seizure. Please, answer the following questions. 1- What assessment data indicated that the patient was experiencing an increase in the severity of preeclampsia? Severe preeclampsia: Blood pressure that is 160/100 or greater proteinuria greater than 3+ Oliguria Elevated serum creatinine greater than 1.2 Cerebral or visual disturbances (headache and blurred vision) Hyperreflexia with possible ankle clonus, pulmonary or cardiac involvement, extensive peripheral edema, hepatic dysfunction, Epigastric and right upper-quadrant pain, and thrombocytopenia. 2- Describe the pathophysiology of preeclampsia. How does it affect the physiology of the pregnant
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woman? Preeclampsia is high blood pressure during pregnancy that damages other organs, usually the kidneys and liver. Preeclampsia can be a serious complication and is often characterized by swelling of the face and hands and protein in the urine. Eclampsia results when preeclampsia is left undiagnosed or treated and can be fatal. Eclampsia is diagnosed when patients with preeclampsia begin having seizures. These seizures can occur even if the patient does not have a history of them. 3- What differentiates preeclampsia from eclampsia?
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