ACTIVE LEARNING TEMPLATE: System Disorder

Jen Forbes
STUDENT NAME______________________________________
Preeclampsia
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER____________

Alterations in Pathophysiology Related Health Promotion and

Health (Diagnosis) to Client Problem
It is diagnosed by the elevation of the arteries in the urterious do not widen to allow
expectant mother’s blood pressure for increase blood volume of the pregnancy
usually after the 20th week of pregnancy. resulting in crease placental perfusion and
hypoxia
Disease Prevention
Increase client education and preventing
maternal and fetal complication like decrease
cerbral tissue perfusion and decrease tissue
perfusion to the baby

ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings
Previous history of preeclampsia
Seizure
severe continuous headache
Multiple gestation (i.e., pregnant with more than one baby)
History of chronic high blood pressure, diabetes, kidney disease or organ transplant
First pregnancy
nausea precautions
Obesity, particularly with Body Mass Index (BMI) of 30 or greater. Calculate your BMI here.
Over 40 or under 18 years of age
Family history of preeclampsia (i.e., a mother, sister, grandmother or aunt had the disorder)
blurring of vision
Flashes of light or dots before the eyes
have suction
Polycystic ovarian syndrome
Lupus or other autoimmune disorders, including rheumatoid arthritis, sarcoidosis and multiple sclerosis
hypertension, proteinuria equipment and
In-vitro fertilization facial edema, vomitting, hyperreflexia, seixures, jaundice,
Sickle cell disease
RUQ epigastric pain emergency drugs
and oxygen
available at all
Laboratory Tests Diagnostic Procedures times
liver enzyme test Dipstick testing for proteinuria
serum creatinine, BUN, uric acid and magnesium 24 hr urine collection for protein and creatinine
increases as renal function decrease clearance
CBC Non stress test, contraction stress test, biophysical
clotting studies profile, and serial ultrasounds to assess fetal status
Chemistry profile doppler blood flow anaylysis

PATIENT-CENTERED CARE Complications

Nursing Care Medications Client Education placental
assess LOC maintain client on side lying. promote abruption,
Anti hypertensive
obtain pulse ox
monitor urine output
drugs:
non stimulating environment. Avoid decrease oxygen
foods high in sodium, tobacco and
obtain daily weight
encourage lateral position methyldopa, alcohol. limit caffeine. report signs
to vital organs and
perform NST and daily kick count
instruct patient to monitor I&O nifedipine, and symptoms such as vaginal fetus
monitor vital signs especially BP bleeding
hydralazine and
labetalol.
Anticonvulsants:
Therapeutic Procedures Magnesium Interprofessional Care
sulfate
Administer Antihypertensive drugs, and calcium collaborate with doctor so that up to
Anti-convulsive agents as ordered. date information can be relayed.
administer oxygen gluconate of collaborate with a dietitian so that a
immediate C-section regardless of calcium chloride diet plan can be formulated.
gestational age for severs preeclampsia for magnesium collaborate with the nurses on the
NICU so that mom can get up to date
toxicity information on baby

ACTIVE LEARNING TEMPLATES