Presentation Transcript
Slide 1:PREGNANCY-INDUCED HYPERTENSION Elevation of a pregnant woman's blood pressure
ASSESSMENT: :ASSESSMENT: MILD PREECLAMPSIA
BP: 140/90 mmHg
Proteinuria (1+ or 2+)
Wt. gain
Edema on upper part of the body SEVERE
PREECLAMPSIA
BP: 160/110 mmHg
Proteinuria (+3, +4)
Extreme edema
Severe epigastric pain
Nausea and vomiting
S/Sx: :S/Sx: Increased blood pressure
Proteinuria
Edema
Dizziness
Sudden Wt gain
Nausea and vomiting
Visual changes
RISK FACTORS: :RISK FACTORS: pre-existing hypertension (high blood pressure)
kidney disease
diabetes
PIH with a previous pregnancy
mother's age younger than 20 or older than 40
multiple fetuses (twins, triplets)
Slide 5:pathophysiology
convulsion :convulsion
convulsion :convulsion
Slide 11:Nsg. Dx
Decreased Cardiac Output :Decreased Cardiac Output Promote bed rest
Promote good nutrition
Monitor input and output
Ineffective Tissue Perfusion :Ineffective Tissue Perfusion Elevate legs
Obtain Hct levels as ordered to monitor blood concentration
Assess lower extremities noting skin texture, presence of edema, and ulcerations.
Measure capillary refill
Fluid Volume Deficit :Fluid Volume Deficit Evaluate nutritional status
Diet: low sodium, moderate-high protein
Establish fluid replacement needs
Monitor I&O
Urinary Retention :Urinary Retention Monitor intake and output
stimulate pt to void:
running water
stroking of inner thigh
catheterization
Risk for Fetal Injury :Risk for Fetal Injury Monitor fetal well-being
Admin. Oxygen to mother
Slide 22:managements
Medical/Surgical: :Medical/Surgical: continued laboratory testing of urine and blood
Administrations of corticosteroids
magnesium sulfate (or other antihypertensive medications for PIH)
Delivery of the baby
Slide 24:mem des kring