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CASE STUDY
GENERAL OBJECTIVES
SPECIFIC OBJECTIVES
A. TERMINILOGIES
B. INTRODUCTION
D. PATHOPHYSIOLOGY
F.NURSING MANAGEMENT
H. DRUG STUDY
L;
GENERAL OBJECTIVE
SPECIFIC OBJECTIVES
Pregnancy Induced Hypertension - is a unique disorder that occurs with pregnancy with three classic
symptoms, hypertension , edema , and proteinuria . It is categorized as preeclampsia or eclampsia.
Premature cervical dilation - occurs when the cervix dilate early in pregnancy before viability of the
fetus .
B. INTRODUCTION
The Pregnancy- Induced Hypertension (PIH) is a condition in which vasospasm occurs during pregnancy
in both small and large arteries.
PIH is known as HELLP syndrome defined by hemolysis ,elevated liver enzymes, and low platelet count
which occurs in about 2% of clients with PIH.
CLASSIFICATION
Gestational Hypertension
A woman is said to have gestational hypertension when she develops an elevate blood pressure
(140/(90 mm Hg) but has no proteinuria or edema.
Perinatal Mortality is not increased with simple gestational hypertension, So no drug therapy is
necessary.
Mild Preeclampsia
A woman said to be mildly preeclampsia when her blood pressure rises 140/90mm Hg, taken on
two occasions at least 6 hours apart.
A second criterion is systolic blood pressure greater than 30mm Hg and diastolic pressure
greater than mm Hg.
Severe Preeclampsia
a woman passed from mild to severe preeclampsia when her blood pressure has risen to 160
mm Hg systolic and 110 mm Hg Diastolic or above on at least two occasions 6 hours apart at
bed rest.
With severe preeclampsia the extreme edema will be noticeable as puffiness in a womans face
and hands.
Eclampsia
The most severe classification of PIH. A woman passed into the stage when cerebral edema is so
acute that a a seizure or coma occurs.
With eclampsia the maternal mortality rate is high as 20% from causes such as cerebral
haemorrhage, circulatory collapse , or renal failure.
RISK FACTORS
Women of color. Hypertension is most common to these women due to genetic make up their
race.
Multiple Pregnancies. Women who have undergone multiple pregnancies are more
compromised with hypertension.
Primiparas who are 20 years and older. This group has a increased risk for pregnancy induced
ypertension than women who are old and above.
Women from low socioeconomic backgrounds. These women may have a poor diet due to their
low socioeconomic background , which could greatly to hypertension.
Underlying disease. This might contribute to the occurrence of pregnancy induced
hypertension.
Etiology
Causes
Pre existing hypertension ( high blood pressure)
Kidney disease
Diabetes
Mother’s age younger than 20 or older than 40
Gestational Hypertension
Mild preeclampsia
Severe preeclampsia
Eclampsia
Complications
Anatomy and Physiology
Drug study
Administer at 5 mL /
min.
Nursing Care Plan