pregnancy induced hypertension

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Presentation Description

Placenta Previa and Abruptio placenta

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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: 

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