NURSING CARE PLAN

PRE ECLAMPSIA

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION

Subjective:  Decreased After 24 hours  Assess and Goal was met.

“nahihilo po cardiac of nursing monitor blood After 24 hours
ako at masakit output r/t intervention, pressure and of nursing
po sa bandang Hypertension the mother pulse as intervention,
tiyan ko” as secondary to will be able to indicated the mother
verbalized by Preeclampsia verbalize  Observe skin will be able to
the patient  Activity relief and able color, verbalize
intolerance to participate temperature relief and able
Objective: r/t in activities and capillary to participate
- high blood hypertension that reduce refill in activities
pressure as evidence blood  Measure that reduce
- presence of by feel pressure and protein blood
Edema dizziness and lessen volume and pressure and
- pale in abdominal abdominal proteinuria lessen
appearance pain. pain.  Provide calm abdominal
- proteinuria restful pain.
of 2+ surroundings,
minimize
Vital signs environmental
taken as noise
follows:  Note
independent
T- 37.0 or general
P-78 edema
R-20
BP- 140/90