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NursingCrib.com Nursing Care Plan Pregnancy Induced Hypertension (PIH; Preeclampsia and Eclampsia)

NursingCrib.com Nursing Care Plan Pregnancy Induced Hypertension (PIH; Preeclampsia and Eclampsia)

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Published by deric
A free sample nursing care plan (ncp) for Pregnancy Induced Hypertension (PIH; Preeclampsia and Eclampsia).
A free sample nursing care plan (ncp) for Pregnancy Induced Hypertension (PIH; Preeclampsia and Eclampsia).

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Published by: deric on Feb 08, 2009
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06/17/2015

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NURSING CARE PLAN
ASSESSMENT DIAGNOSIS
INFERENCE
PLANNING INTERVENTION RATIONALE EVALUATION
Subjective:“Napansin ko nabigla na langbumigat angtimbang ko” (
noticed that I gained a lot of weight 
) asverbalized by thepatient.Objective:
Variations inbloodpressure.
Edema
V/S taken asfollows:T: 37.1P: 78R: 20BP: 140/90Decreasedcardiac outputrelated todecreasedvenous return.Preeclampsia is acommon problemduring pregnancy.The condition —sometimes referredto as pregnancy-induced hypertension — is defined by highblood pressure andexcess protein in theurine after 20 weeksof pregnancy. Often,preeclampsia causesonly modestincreases in bloodpressure. Leftuntreated, however,preeclampsia canlead to serious —even fatal —complications forboth mother andbaby.
After 8 hoursof nursinginterventions,the patient willparticipate inactivities thatreduce bloodpressure orcardiac workload.
Independent: 
Monitor bloodpressure of thepatient. Measurein both arms orthighs threetimes, 3-5minutes apartwhile patient is atrest, then sitting,then standing forinitial evaluation.
Observe skincolor, moisture,temperature andcapillary refilltime.
Note dependentor generaledema.
Provide calm,restfulsurroundings,minimizeenvironmentalactivity or noise.
Maintain activityrestrictions.
Comparison ofpressuresprovides a morecompletepicture ofvascularinvolvement orscope of theproblem.
Presence ofpallor, cool,moist skin anddelayedcapillary refilltime may bedue toperipheralvasoconstriction
May indicateheart failure,renal orvascularimpairment.
Help reducesympatheticstimulation,promotesrelaxation.
Reducesphysical stressand tension thataffect bloodpressure andcourse of
After 8 hours ofnursinginterventions,the patient wasable toparticipate inactivities thatreduce bloodpressure orcardiac workload.

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