Preeclampsia - notes PDF

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Summary

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Description

What is it? Extreme elevation in blood pressure during pregnancy with the presence of protein in the urine after 20 weeks of gestation.

preeclampsia Types

Assessment ❖ ❖ ❖ ❖ ❖ ❖

Sudden weight gain Swelling of the face and hands Headache Blurry vision Hyperreflexia Clonus ( seizures)

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Mild : 30/15 mmhg off of baseline six hours apart. Increase the amount of protein in the diet because they are spilling it into the urine. Glomerular damage is present. Severe: 160/110 mmHg 6 hours apart. May have an episode of seizure activity. Have mag sulfate ready.

Interventions ❖

Magnesium sulfate ❖ ❖ ❖

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Vasodilator & sedative Monitor for pulmonary edema Monitor for signs of mag toxicity: decreased DTRS, BP, respiration, decreased LOC. Labor will halt: have oxytocin ready if indicated.

Care ❖

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Decrease environmental stimuli. This decreases the risk of seizures. Initiate seizure precautions Monitor mom and baby

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Magnesium sulfate : have calcium gluconate at bedside. Monitor for sedation and hyporeflexia. Seizure precautions Safety checks

Risk factors ❖

History of preeclampsia.

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Chronic hypertension.

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First pregnancy.

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New paternity

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Age. The risk of preeclampsia is higher for very young pregnant women as well as pregnant women older than 40.

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Obesity.

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Multiple pregnancy. Preeclampsia is more common in women who are carrying twins, triplets or other multiples.

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Interval between pregnancies. Having babies less than two years or more than 10 years apart leads to a higher risk of preeclampsia.

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In vitro fertilization. Your risk of preeclampsia is increased if your baby was conceived with in vitro fertilization.

Nclex tip! Blood pressure that exceeds 140/90 millimeters of mercury (mm Hg) or greater,documented on two occasions, at least four hours apart , is abnormal....