Preeclampsia
High blood pressure 1st occurring after 20 weeks of pregnancy accompanied by proteinuria and abnormal swelling
Risk Factors:
- Multiples
- History of Preeclampsia
- HTN
- Age extremes
- Obesity
Diagnosed: 2 BP >140/90 taken 4 hours apart and other signs & symptoms
Signs & Symptoms
- Proteinuria +1 Headache
- Visual changes
- Nausea & Vomiting
- Epigastric Pain
- Hyper reflexive
- Edema
- Oliguria
Nursing Interventions
- Monitor blood pressure and I &O
- Daily weights
- Seizure precautions
- Bed rest left lateral
- Emotional support
- FHR monitoring
- Head to Toe Assessment (DTRs, auscultate lung sounds, observe for signs & symptoms)
- 24-hour urine
Treatment
Antihypertensives (to lower BP)
Magnesium Sulfate (to prevent seizures)
Bed Rest
*DELVIERY*
Hemolysis
Elevated
Liver Enzymes (AST >70 units/L ALT >50 units/L) Low
Platelets (<100,000/mm3)
Eclampsia
• CNS involvement
• Give Magnesium Sulfate • Delivery