Among the most fatal part of pregnancy-induced hypertension is eclampsia.

The status of having an eclampsia is an introductory phase for having convulsions when the case is not managed properly. Previous researchers attempted to cite out the cause of hypertension but until now they could not point it out. Only contributing factors are sited such as heredity, lifestyle and supporting vessels. Previously, eclampsia is called toxaemia since researchers thought a certain toxin may cause the hypertensive episodes on mothers. In diagnosing pregnant mothers in the pre-eclamptic stage, a triad of signs and symptoms are observed: 1. Intense Vasospasm 2. Local or disseminated intravascular coagulation 3. Plasma volume contraction

Eclampsia can only be squared down when the following signs and symptoms are present:
  

hypertension proteinuria edema

Predisposing factors: 1. 2. 3. 4. 5. Multiparity Being pregnant under 20 years old Being pregnant more than 30 years old Being in a low socio-economic status Previous diagnosed illness such as heart disease, diabetes mellitus and essential hypertension

Eclampsia Nursing Care Plan-Altered tissue perfusion
Nursing Diagnosis Objectives Nursing Interventions Nursing Actions 1. Monitor vital signs, palpate peripheral pulses and note capillary refill, assess 1. Rationale Rationale Indicators of adequacy of systemic perfusion, fluid/ blood, needs, and Evaluation Outcome Criteria: Client’s blood pressure is below 140/90mmHg

Goals/ Nursing Diagnosis: Objectives: Altered tissue perfusion (Cerebral, peripheral and renal) Short term goal: Possible Etiologies: (Related to) Client will demonstrate

Insert foley catheter as indicated by the physician and monitor urine output. Assist in the delivery of the baby. Urine output should be in congruence with fluid intake. and the mother and demonstrates the fetus. 4. 5. 3. 6. Administer oxygen as prescribed. 2. monitoring one’s health Defining and characteristics: involving (Evidenced by) oneself to dietary  Elevated blood restrictions pressure and medical  Edema. for increase which is a Client warning of verbalizes worsening. Replacement of fluids maintains . glomerular absence of perfusion seizure  Decreased episodes. if plans upon fluctuating. Ensure safety by putting the side rails always up and monitor client for tonicclonic convulsions. 3. urine output complications. of seizure Woman’s BP episodes. Place client on left recumbent position. severe cases  Unusual Long term sensitivity to goal: blood loss probably Client will because of demonstrate leakage of blood readiness components into during the the postpartal extravascular period in space. 5. willingness to Convulsions perform are evident in monitoring Eclampsia so it measures. developing . should be watched out and monitored. 6. 7. 8. it discharge. 4. 8. constriction of as blood vessels evidenced  Decreased by stable prostaglandin vital signs.Moni tor maternal well. Administer Magnesium Sulfate as ordered by the physician and monitor for signs for toxicity. absence syndrome. during To ensure lecturesupply of discussion oxygen to both sessions. weigh client daily and evaluate changes in mentation. and angiotensin II alert and  Impaired oriented. should be done participates hourly. uteroplacental balanced perfusion intake and  Increased output. of above This is to avoid 30ml/hour. follow up especially of the checkups hands and face and  Sudden weight intervention  2. levels palpable  Sensitivity to pulses.being periodically.Arterial adequate vasospam/ perfusion. uterine pressure fetal heart on the vena rate is cava and between 120prevent supine 160 beats per hypotension min. cardiac decrease in workload presence of  Vascular edema and damage good fetal  Red blood cell status damage evaluation  Alteration in within a liver function in week. should be taken decrease in at least every 4 presence of hours to detect edema. Administer fluids as prescribed. This drug is usually given to control the blood pressure of client’s with pregnancy induced hypertension. 7. urinary output.

Deliv ery of the baby is considered the only cure for Eclampsia. . J. Proteinuria (1+ up to 4+) Hyperreflexia Headache Visual disturbances Epigastric pain Fetal status Decreased urine output Rales.. (1995). A. References: Maternal and Child Health Nursing: Care of the Childbearing and Childrearing Family Philippine Edition of Pillitteri.           gain . uric acid Decreased hematocrit and haemoglobin Seizure circulating volume and tissue perfusion. if pulmonary edema is present Elevated BUN. creatinine.(1992) Phantom Notes in Nursing: Maternal – Newborn 1st Edition of Glickman Jr.

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