Pathophysiology of Hellp

Syndrome

Precipitating Risk
Predisposing Risk Factors
Factors
 Causative agent
 Over age (  Coagulation Defects
35 years old)
 History of Pre-
eclampsia

Platelet Activation

Vasoconstriction Endothelium Damaged

Blocked Hepatic RBC are sheared as they flow

Blood Flow through damage vessels

Swelling Pain Macroangiopathic Hemolytic Anemia

(MAHA)
Elevated AST and ALT

Low Oxygen Supply Odd Shape RBC

 Mother Fetus

Disseminated Intravascular Placental Insufficiency

Coagulation (DIC)

Intrauterine Growth
Intrauterine Retardation
Hypoxia

Nursing Management Medical treatment

1. Assist the client to a setting with intensive care facilities.

● Magnesium sulfate
Clinical Diagnosis 2. Administer magnesium sulfate per doctor’s order. ● Corticosteroids

3. To control the blood pressure, give hydralazine as

●Physical
ordered.
Assessment and
history taking 4. Avoid traumatizing the liver by abdominal palpation.
● Blood Test
● Ultrasound 5. If the gestation is 34 weeks, cervical ripening with labor
induction usually done. Delivery many delayed if the
gestation is less than 34 weeks and woman’s condition is
stable to give steroids for stimulating fetal lung maturity.
Surgical Treatment
6. Give psychosocial support
● Caesarian Section