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Wednesday, July 25, 2012

Nursing Diagnosis for Preeclampsia

Nursing Diagnosis for PreeclampsiaNursing Care Plan for Preeclampsia

Preeclampsia is a collection of symptoms that occur in pregnant women, maternity and childbirth consisting of hypertension, edema and proteinuria, but show no signs of vascular abnormalities or hypertension before, while the symptoms usually appear after age 28 weeks gestation or more.

Predisposing factors
  • Molahidatidosa
  • Diabetes mellitus
  • Multiple pregnancy
  • Hydrops fetalis
  • Obesity
  • Age over 35 years
Clinical manifestations

Signs of preeclampsia usually arise in the order: excessive weight gain, followed by edema, hypertension, and proteinuria eventually. In the mild pre-eclampsia found no subjective symptoms. In the severe pre eclampsia found in the area prontal headache, diplopia, blurred vision, pain in the epigastric region, nausea or vomiting. These symptoms are often found in pre-eclampsia is increased and is an indication that eclampsia will occur.

Diagnosis :
  • Clinical features: excessive weight gain, edema, hypertension, and proteinuria occur.
  • Subjective symptoms: headache frontal area, epigastric pain; impaired visual acuity; blurred vision, scotoma, diplopia; nausea and vomiting.
  • Other cerebral disorders: increased reflexes, and not quietly.
  • Examination: high blood pressure, reflexes increased and proteinuria in the laboratory.

Nursing Diagnosis for Preeclampsia
  1. Ineffective Cerebral Tissue Perfusion related to decreased cardiac output secondary to vascular vasopasme.
  2. Impaired Gas Exchange related to accumulation of fluid in the lungs: pulmonary edema.
  3. Decreased Cardiac Output related to decreased venous return, cardiac trouble.
  4. Excess Fluid Volume related to glomerular function impairment secondary to the decrease of cardiac output.
  5. Activity Intolerance related to weakness.
  6. Impaired Urinary Elimination related to impaired glomerular filtration: anuria and oliguria.
  7. Imbalanced Nutrition Less Than Body Requirements related to inadequate intake.
  8. Acute Pain related to injury of biological agents: Hydrogen ion accumulation and an increase in HCl.
  9. Risk for Injury: the mother related to diplopia, increased intra-cranial: seizures.
  10. Knowledge Deficit: the management of therapy and treatment related to misinterpretation of information.

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