University:
West Coast University
Course:
NURS 664 | Primary Care Women's Health: Theory, Pharmacology and Practice
Academic year:

2022
Views:

226

Pages:

1
Author:

Nesbyenvkk

Simulation Concept Map Describe Pre-Eclampsia in your own words and list what you would expect to find on assessment. Pre-eclampsia is gestational hypertension (blood pressure greater than 140 and/or 90) by the evidence of proteinuria or organ dysfunction. Upon assessment, I would expect to find proteinuria, elevated BP, edema, or weight gain and if severe, nausea vomiting, changes in vision, and abdominal and back pain. What are you on alert for? What are you on alert for? Seizure activity HELLP Syndrome What will be your intervention? What will be your intervention? Place patient in side-lying position, padded side rails, give oxygen, have suction, and do not leave patient How will you evaluate the effectiveness of your intervention? Evaluate patient safety How can you reduce the risk potential for this client? Continue to monitor symptoms, accurate BP, 24-hour urine, lab tests, and weight. Also closely monitor the fetus. Pre-Eclampsia Only treatment is delivery. Notify provider How will you evaluate the effectiveness of your intervention? What are you on alert for? What are you on alert for? If receiving magnesium sulfate, be on alert for mag toxicity Changes in vision and severe headaches What will be your intervention? What will be your intervention? Monitor for respiratory depression, oliguria, absent reflexes, slurred speech, and decreased level of consciousness. Antidote is calcium gluconate Monitor patient frequently How will you evaluate the effectiveness of your intervention? Avoid mag toxicity How will you evaluate the effectiveness of your intervention? Headache and vision changes resolve HELLP is resolved after delivery What is your nursing diagnosis? Abnormal attachment of the uterus as evidence by proteinuria and gestational hypertension What is your short-term goal? Prevent organ dysfunction What is your long-term goal? Control hypertension