Concept Map Worksheet
Olivia Jones
Jasmyn Gould
Pathophysiology of Disease
Dx test
Patient information
Anticipated physical findings
Anticipated nursing
interventions
Preeclampsia is characterized by high blood pressure after 20 weeks
gestation. It is grouped into mild and severe and then progresses to
eclampsia. Mild preeclampsia is blood pressure >140/90 mm Hg and
severe is >160/110 mm Hg. The pathophysiology is largely unknown
but it involves both vasospasm and hypoperfusion. It causes
pulmonary edema, oliguria, seizures, thrombocytopenia, and
abnormal liver enzymes.
 Ultrasound to monitor for fetal heart rate
 Hepatic function panel to monitor for organ damage
 AST an ALT to monitor for organ damage
 CBC to monitor for platelets, RBC's, MCH, MCHC
 urine dipstick to monitor for proteinuria; a warning sign
Olivia Jones, 23 y/o, BF, Dx. Severe Preeclampsia
 Pitting dependent edema
 increase blood pressure
 facial edema
 Weight gain
 Polyurea
 Headache
 Dyspnea
 Epigastric pain
 Visual changes
 Monitor labs CBC, urine dip stick, liver function tests
 Monitor BP and HR frequently
 Auscultate lung sounds
 Attach electronic FHR monitor
 Obtain ultrasound
 Assess for dependent edema
 Monitor SpO2
 Limit stimuli such as visitors, light, and sound
 Apply nonrebreather mask
 Assess for visual changes
 Administer medications as ordered
 Provide emotional support
 Provide pt education
 Monitor for progression of preeclampsia
 Provide pt safety including maintaining the bed in low and
locked position
 Pad railings and implement seizure precautions
 Assess deep tendon reflexes