KanGuhiTorya

SUPPLEMENTAL LEARNING KIT

ALA
N

ND
ER

CH
AT
ILD M

GABIOLA, DULCE CLARETTE G.

OCAÑA, JEN DESIREE M.
ROMERO, NOVA B.
 HART & PIH
(cardiovascular prob)

You know, HART, there's Oh PIH pls stop... If you're

a new report about making me to choose
cardiovascular between you and my
problems during samyang. It's going to be
pregnancy that says... samyang...

HART
PIH

Don't be hardheaded
and let me finish! You
need to hear this! And
did you know that its
bad for you to consume
too much sodium?! HART
PIH

Okay chill... So,

what exactly is
that report
about?

They said that

they classify heart
disease to Class 1
to 4.

Class 1 means
UNCOMPROMISED. You
can still continue the
whole course of
pregnancy. There is no
symptoms of cardiac
insufficiency and no
anginal pain... HART

PIH

Class 2 is SLIGHTLY
COMPROMISED. You will be
comfortable at rest but can
experience fatigue,
palpitations, dyspnea, or
anginal pain during ordinary
activities...
Class 3 is MARKEDLY
COMPROMISED. There will be
moderate to marked
limitation of physical
activities bcoz that will cause
you palpitations, anginal pain,
and dyspnea...
That means a woman should
begin prenatal care as soon as
she suspects she is pregnant (1
week after the first missed
menstrual period) so that her
general condition and
circulatory system can be
monitored???
 Yes! Bcoz pregnancy
taxes the circulatory
system of every woman,
even without cardiac
disease... both the blood
volume and cardiac
output increases...

Okay, next is Class 4

the patient is That means if I my heart
SEVERELY is severely functioning
COMPROMISED. There then the me and my
are symptoms of baby will be put at risk.
cardiac insufficiency HART That's scary~~~
even at rest...

PIH

Bcoz your heart

is failing, you are
a poor candidate
for pregnancy...

Fetus may die during

labor because they may
receive inadequate
So what will happen oxygen and blood supply...
to the baby? To
me??
IUGR...

Miscarriage...

Well, there are

many. There are only Preterm labor and
2-4% chance that birth...
HART the baby will inherit
the disease Anemia on the
PIH mother

Maternal cardiac
decomposition, like
myocardial failure and
cardiomyopathy...

Or prematurity of
the baby...

*sigh*
same here...

That information
makes me worried.

HART
PIH by the way, are you
okay?? how are you
feeling today?
 My doctor also said that
I'm tired (fatigue), I have pulmonary
and did you notice I edema which explains
gained weight? look my cough. Sometimes its
at my feet, it's also hard to breathe.
swollen (edema)

HART How about you PIH?

Are you okay now??

Rapid weight gain (over 2lb/week in the 2nd

trimester, 1lb/week in the 3rd trimester

Swelling of the face or fingers

Flashes of light or dots before the eyes

Well, I'm feeling a lot

of things right now.
The objective signs, Dimness or blurring of vision
as my doctor points
PIH out, are...
Severe, continuous headache

Decreased urine output

My vision is sometimes
blurry, and I have Last night I had a
difficulty peeing. I fever, and that
experience epigastric made me feel dizzy
pain, headaches, nausea, right now...
and vomiting often.

Do you know what it's like to

have a ringing in your ear?
It's called tinnitus, and it's
something I've experienced
as well. I get drowsy from
PIH
time to time as well...
 I need bed rest and
good nutrition.
Monitoring me and fetal
well-being is a must.
Changes in vital signs
Is there anything
should be monitored...
you can do about it?

HART
PIH MgSO4 will be given to
prevent seizure. But
Calcium Gluconate should
be kept at bedside. That
was an antidote for
MgSO4 toxicity...

They can give me IV

Antibiotics like
How about you? Penicillin if I am not
allergic to that.

If I develop coagulation
issues, I'll also need
heparin. Thiazide will be
used to treat congestive
heart failure.

PIH HART

*sigh*
I have a check-up later,
I'll ask my doctor about
my case... I also have a check-up
scheduled for later.
We're both in the same
hospital, so why don't
we go together?

HART
PIH

Source: Maternal and Child Health Nursing (First Edition). (2010). Jhocelyn “Joyce”
Pantoe Meiji Rivera, R.N,MAN. Illustrated by: Nova Romero