PATHOPHYSIOLOGY

Modifiable Pregnancy Lifestyle Non-modifiable Age Gender - Female

Reduced responsiveness to pressor substances appears to be lost

Vascular effects Vasoconstriction
Vomiting

Vasospasm Kidney effect

Poor organ perfusion Blood pressure Poor placental perfusion

blood flow resistance Back pressure

Pressure to brain

Degenerative changes occur

Ischemia in pancreas

Permeability of the glumerular membrane

Glumerular filtration rate

Epigastric pain

Reduced the fetal nutrient and O2 supply

Heart is forced to pump against rising peripheral resistance

Allowing serum protein albumin & globulin to escape into urine

Lowered urine output and creatinine clearance

protenuria Interstitial effect Albumin holds oncotic pressure Weight gain Protein loss

Endometial damage

Platelet clusters in the site of endometrial damage thrombocytophenia gum bleeding

Imbalance between oncotic pressure and hydrostatic pressure

edema

a good prenatal diet full of vitamins and basic food group is important. therefore conclude that if a woman has a plan to have a baby. 35 years of age like Mrs. One factor of having this kind of disease during pregnancy is the age of the woman. . they must always consider the baby inside their body to be free from any abnormality that might happen due to complications. Pregnant women should not be self centered with regards to their condition. Proper prenatal care is essential to be able to monitor the condition of the mother and the baby. especially if there is a problem scene in patient. it is necessary to prepare her not only financial. As with any pregnancy. This allows the health care provider to find and treat conditions such us preeclampsia. The importance of prenatal care is very vital. Because it has plenty of changes will occur inside and outside of the body.Conclusion Since preeclampsia continues to be one of the primary causes of maternal deaths and morbidity not only here in the Philippines but also worldwide. X she must know the outcome of it since her last pregnancy she had also eclampsia. as mentioned above it can be helpful for the mother and the baby as well to have a healthy delivery and free from any complications. We. emotional. the most important of all is physical.

6. it means that it is vital to have a prenatal care for further monitoring of the patient. 8. Instruct the patient of proper hygiene. This helps to minimize the risk of harm to the woman or her baby from worsening preeclampsia. and treatment of eclampsia are crucial in preventing mortality related to this disorder. 5. Bed rest and taking high blood pressure medication can lower the blood pressure but will not stop preeclampsia from worsening or reduce the risk of its complications. 10. According to a study woman who do not receive prenatal care are seven times more likely to die from complication related to preeclampsia than women who receive prenatal care. Always bring the prescribed medication after discharge in the hospital. Monitor food intake it must be low in fat. Emphasize the importance of breast feeding. And practice deep breathing exercise. Early detection. careful monitoring. Mrs. Advise to visit or have a follow up check-up with her attending physician. 4. 3. The most effective treatment for preeclampsia at or near term (after 37 weeks of pregnancy) is to deliver the baby. low in salt. X is 35 years of age and already had 5 children as student nurses advised her to have ligation. 9. Instruct patient to avoid strenuous activities. 2.Recommendation Preeclampsia is a serious condition in a pregnant woman that needs a lot of precautions to be able to avoid it next time that she gets pregnant. The student nurses give recommendations to our patient to help her to cope up and avoid this situation next time she wanted to have a baby: 1. Babies at or near term are not at high risk of complications from prematurity and usually will not need to spend time in a special care nursery. . 7.

Boncodin Mikka Mae Capus Mary Ann Casaul Nina Rica Ealdama Rachel Ebuenga Eclarinal Alfred BSN. RN Clinical Instructor .Gordon College College of Nursing Pre-eclampsia (Delivery Room) Submitted by: Eliza S.IVB1 Submitted to: Eloisa Rosapapan.

Laboratory test Preeclampsia usually shows up during a routine prenatal blood pressure check followed by a urine test. The following laboratory tests were recommended:  Blood tests. That's one of the reasons it's essential to seek early and regular prenatal care throughout your pregnancy. These can determine how well your liver and kidneys are functioning and whether your blood has a normal number of platelets — the cells that help blood clot. Substances called biochemical markers in your blood and urine may be warning signs of preeclampsia. . The diagnosis depends on the presence of high blood pressure and protein in your urine after 20 weeks of pregnancy.

typically through ultrasound. It is produced at a nearly constant rate and is excreted in the urine. this may signal the development of pre-eclampsia.  Serum proteins are normally extracted from urine prior to it being released from the kidney. some additional protein may be lost in the urine. During pregnancy. Urine samples taken over at least 12 hours and up to 24 hours can quantify how much protein is being lost in the urine. A 24-hour collection of urine is the most accurate way to assess renal function with creatinine. The sound waves are translated into a pattern of light and dark areas — creating images of . Your doctor may also recommend close monitoring of your baby's growth. This is called the "creatinine clearance. Because the renal glomeruli are imperfect. 24 Hour Urine for Protein and Creatinine Creatinine is a product of muscle metabolism.  Because of it's constant rate of production. including your baby. This increased protein loss should not normally be in quantities exceeding 300 mg in 24 hours. due to the increased renal blood flow. Larger amounts (1+ or more) are considered abnormal and may reflect an underlying kidney problem. These sound waves bounce off the curves and variations in your body. Urine protein can be measured on any urine sample (a "spot urine"). the urine creatinine will fall.  Fetal ultrasound." Vigorous exercise or muscular trauma occurring during the collection will cause an increased amount of creatinine in the blood and may lead to false creatinine clearance results. the amount of creatinine in the urine is an indirect measurement of kidney function (glomerular filtration rate). normal individuals may occasionally have "trace" amounts of protein in their urine. but the most accurate measure is with a 24-hour collection of urine. This test directs high-frequency sound waves at the tissues in your abdominal area. the serum creatinine will eventually rise. If kidney function is significantly reduced. With more severe degrees of kidney failure. an indication of the severity of preeclampsia. Prolonged urine collection test. If more than 300 mg in 24 hours is found. A blood (serum) creatinine is also measured during this time and used to calculated the volume of urine needed to "clear" the measured amount of creatinine from the blood and into the urine.

These make sure your baby is getting enough oxygen and nourishment. A biophysical profile combines an ultrasound with a nonstress test to provide more information about your baby's breathing. tone. Reference: http://www.com/health/preeclampsia/DS00583/DSECTION=tests-anddiagnosis . movement and the volume of amniotic fluid in your uterus.mayoclinic.htm http://www.  Nonstress test or biophysical profile.brooksidepress. Your baby is doing fine if the heart rate increases at least 15 beats a minute for at least 15 seconds twice in a 20-minute period.your baby on a monitor that can be recorded electronically or on film for a look at the inside of your uterus. A nonstress test is a simple procedure that checks how your baby's heart rate reacts when your baby moves.org/Products/OBGYN_101/MyDocuments4/Lab/24hour_Urine_for_Protein_and_Creatinine.

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