University:
College
Course:
College Nursing
Academic year:

2023
Views:

406

Pages:

1
Author:

stola2tckhq

ACTIVE LEARNING TEMPLATE: Basic Concept STUDENT NAME _____________________________________ Reduction of Risk Potential - Evaluating Outcomes of a Postpartum Client - HELLP CONCEPT ______________________________________________________________________________ Related Content Underlying Principles (E.G., DELEGATION, LEVELS OF PREVENTION, ADVANCE DIRECTIVES) HELLP syndrome: is a variant of GH in which hematologic conditions coexist w/severe preeclampsia involving hepatic dysfunction. HELLP syndrome is diagnosed by laboratory tests, not clinically. H: hemolysis resulting in anemia and jaundice EL: elevated liver enzymes resulting in elevated alanine aminotransferase or aspartate transaminase, epigastric pain, and nausea/vomiting LP: low platelets resulting in thrombocytopenia, abnormal bleeding/clotting time, bleeding gums, petechiae, and possibly disseminated intravascular coagulopathy REVIEW MODULE CHAPTER ___________ Nursing Interventions WHO? WHEN? WHY? HOW? HELLP: severe continuous headache Nausea Blurring of vision Flashes of lights or dots before the eyes No single profile identifies risks for gestational hypertensive disorders, but some high risks include: maternal age younger than 19 or older than 40 first pregnancy extreme obesity multifetal gestation chronic renal disease chronic hypertension familiar hx of preeclampsia diabetes mellitus Rheumatoid arthritis systemic lupus erythematosus Physical Assessment Findings: Hypertension Porteinuria Periorbital, facial, hand and abdominal edema Pitting edema of lower extremities Vomiting Oliguria Hyperreflexia Scotoma Epigastric pain Right upper quadrant pain Dyspnea Diminished breath sounds Seizures Jaundice Manifestations of progression of hypertensive disease w/indications of worsening liver involvement, kidney failure, worsening hypertension, cerebral involvement, and developing coagulopathies.