Unformatted text preview: ACTIVE LEARNING TEMPLATE: System Disorder Shannon ORourke
STUDENT NAME______________________________________
Hypertension In Pregnancy
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER__Ch.19
__________ Alterations in
Health (Diagnosis)
Preeclampsia Pathophysiology Related
to Client Problem
etiology is unknown Health Promotion and
Disease Prevention
Prevention is unknown ASSESSMENT SAFETY
CONSIDERATIONS Risk Factors Expected Findings Primigravida status, chromosomal
abnormalities, structural congenital
anomilies, multiple gestations,
history of preeclampsia, etc. Laboratory Tests increased blood pressure, visual
changes, severe headaches,
unusual bleeding or bruising, or
epigastric pain Diagnostic Procedures CBC, serum electrolytes, BUN,
creatinine, and hepatic enzyme
levels. Urine specimens are checked for
protein, if levels are 1-2+ or
greater, a 24-hour urine collectino
is completed. PATIENT-CENTERED CARE Nursing Care Frequent BP monitoring,
follow up with home care
calls about mothers
condition Therapeutic Procedures
Monitor pt closely for S&S
of severe preeclampsia,
frequent BP checks, daily
weights, expectant
management, etc. ACTIVE LEARNING TEMPLATES Frequently monitor
for signs and
symptoms of
severe
preeclampsia Complications
Medications
Magnesium
Sulfate,
Hydralazine,
Labetalol,
Nifedipine,
Sodium
Nitroprusside,
Furosemide Client Education
Rest in quiet
environment, drink 8-10
glasses of water daily,
consum balanced diet Interprofessional Care
Closely working with a
OB/GYN or Certified
nurse midwife throughout
the pregnancy Eclamptic
seizures, early
birth, progression
to severe
preeclampsia ...
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