Nursing Care Plan – Pregnancy Induced Hypertension (PIH; Preeclampsia and Eclampsia)
June 29, 2008 · 19 Comments
Preeclampsia is a common problem during pregnancy. The condition — sometimes referred to as pregnancy-induced hypertension — is defined by high blood pressure and excess protein in the urine after 20 weeks of pregnancy. Often, preeclampsia causes only modest increases in blood pressure. Left untreated, however, preeclampsia can lead to serious — even fatal — complications for both mother and baby.
A. Mild Preeclampsia
- BP of 140/90
- 1+ to 2+ proteinuria on random
- weight gain of 2 lbs per week on the 2nd trimester and 1 lb per week on the 3rd trimester
- Slight edema in upper extremities and face
B. Severe Preeclampsia
- BP of 160/110
- 3-4+ protenuria on random
- Oliguria (less than 500 ml/24 hrs)
- Cerebral or visual disturbances
- Epigastric pain
- Pulmonary edema
- Peripheral edema
- Hepatic dysfunction
Eclampsia is an extension of preeclampsia and is characterized by the client experiencing seizures.
NURSING MANAGEMENT
- Monitor for, and promote the resolution of, complications.
- Monitor vital signs and FHR.
- Minimize external stimuli; promote rest and relaxation
- Measure and record urine output, protein level, and specific gravity.
- Assess for edema of face, arms, hands, legs, ankles, and feet. Also assess for pulmonary edema.
- Weigh the client daily.
- Assess deep tendon reflexes every 4 hours.
- Assess for placental separation, headache and visual disturbance, epigastric pain, and altered level of consciousness.
Test Findings Blood
HematocritRenal Function
Serum uric acidCreatinine
Creatinine clearance
BUN
Coagulation
Platelets
Fibrin degradation products>40% ?5.5 mg/dL
>6.0 mg/dL (severe PIH)?1.0 mg/dL
2.0-3.0 md/dL (severe PIH)<150 mL/min
8-10 mg/dL (severe PIH)
10-16 mg/dL (severe PIH)<100,000 mL (severe PIH)
?16 µg/mL (severe PIH) - Provide treatment as prescribed.
- Mild preeclampsia treatment consists of bed rest in left lateral recumbent position, balanced diet with moderate to high protein and low to moderate sodium, and administration of magnesium sulfate
- Severe preeclampsia treatment consists of complete bed rest, balanced diet with high protein and low to moderate sodium, administration of sulfate, fluid and electrolyte replacements and sedative hypertensives such as diazepam or phenobarbital or an anticonvulsant such as phenytoin
- Eclampsia treatment consists of administration of magnesium sulfate intravenously
- Institute seizure precautions. Seizures may occur up to 72 hours after delivery.
- Address emotional and psychosocial needs.
NCP – Pregnancy Induced Hypertension (PIH; Preeclampsia and Eclampsia)
NursingCrib.com – Nursing Care Plan Pregnancy Induced Hypertension PIH Preeclampsia and Eclampsia
could you suggest sample of pathophysiology for severe pre-eclampsia? What if there is no result of proteinuria in my patient’s case?:)
ITS SO VALUABLE INFORMATION AND ITS HELP ME IN MY CASE STUDY <3
ncp po ba eto??? 8 hours consider as ncp????
hello po.. hindi ko po kasi makita ung NCP ng pre-eclampsia.anu po ba yun?
"Risk for prone behavior…" May I ask what is 'prone behavior'?
thanks for the sample of the various nursing diagnosis.
However I have a question. WHy do we as nurses use the word "acute?" Is this not for the doctors to decide? acute or chronic
thanks again
Chronic means having a specific symptom for 3 months or more
how do i write a related literature of PIH for our thesis study?
thanks,this article more help to submit my assignment…thank u very much
Thank you soooo much for this information! It really helped me do my “rush” case study. haha. due by next day… whoa! Wish me luck. God bless everyone!
thanx for the infos..really help me with my seminar…
WOW! thanks this thing can be so helpful with my case study later on! two-thumbs up .
thanks for this info..wish me luck in our coming case presentation this afternoon..God bless!!!!
thanks po… nakatulong tlga ‘to for my case study… tnx! God bless!
we just need it for our research…thanks
thnx for the info.,it really helped me.
tnx for your guides about nsg.management for pre-eclamptic patients. i would like to suggest na sana pwd i-copy paste ang topics nyo pra hnd mahrap mgresearch. hehehe :’) tnx 1s agen!!!
can i have a copy of this. thnx
Hi Irene!
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