DISEASE DEFINITIO S/SX PREDISPOSING ANAPHY PATHOPHY DIAGNOSTIC / PHARMA ASSESSMENT / DISCHARGE

N LAB NCP PLAN

Abortion
Abruptio
Placenta
Addison’s
disease
AGE
Alzheimer’s
disease
Angina
Pectoris
Anorexia
Nervosa
Appendicitis
Arthritis
Atherosclerosis
Bell’s Palsy
Bipolar DO
Buerger’s
Disease
Bulimia
Burns
Carpal-Tunnel
Syndrome
Cataract
Cholecystitis
Cholelithiasis
Chron’s
Disease
Colon CA
Congestive
Heart Failure
Conn's disease
Crohn's
syndrome
Cushing’s
Disease
CVA
Dementia
DM
Dengue
Diabetis
Insipidus
Diabetic
Ketoacidosis
Dumping
syndrome
Duodenal ulcer
Eclampsia
Ectopic
Pregnancy
 DISEASE:
PREGNANCY INDUCED HYPERTENSION
 HYPERTENSION THAT DEVELOPS AFTER THE 20TH WEEK OF GESTATION TO A PREVIOUSLY
NORMOTENSIVE WOMAN.

DIAGNOSTIC & LAB:

SIGNS&SYMTOMS:
I HYPERTENSION Test for gestational hypertension includes
2. EDEMA ( INCREASE IN WEIGHT)
3. PROTEINURIA  Blood pressure measurement
= 2nd leading cause of maternal death
= chief causes of maternal death due to PIH:  Urine testing to rule out preeclampsia
- cerebral hemorrhage  Assessment of edema
- cardiac failure with pulmonary edema
- renal, hepatic or resp. failure
- obstetric hemorrhage assoc. with abruptio placenta

Warning signs
 TREATMENT & MEDICATIONS:
MEDICATIONS:
1.HYDRALAZINE – ( APRESOLINE )
- ANTIHYPERTENSIVE ( PERIPHERAL
VASODILATOR) USED TO DECREASE Hpn
Dosage – 5-10 mg/IV - administer slowly to avoid sudden
fall in BP
- Maintain diastolic pressure at 90 mm/Hg to ensure
adequate placental filling

2. MAGNESIUM SULFATE ( MgSO4)

- DRUG OF CHOICE TO TREAT & PREVENT
CONVULSIONS, also a muscle relaxant
- Classified as CATHARTIC – reduces edema by causing a shift in
fluid from extracellular spaces into the intestine
- Loading dose is 4-6g. Maintenance dose is 1-2g/h IV
- Therapeutic dose 4-7 g
- Infuse loading dose slowly over 15-30 min.
- Always administer as a piggyback infusion
- Serum Mg level should remain below 7.5 mEq/L

 Urine output less than 30 ml/hr

 Signs of fetal distress
 Elevated serum Mg levels ( more than 8 mg/dl)

ETIOLOGY:
 THE EXACT CAUSE IS UNKNOWN PATHOPHYSIOLOGY:
The primary cause of these & other s/Sx is damage to the The exact mechanism is not entirely known. Anxiety can
endothelium ( cells that line the blood vessels), resulting in be a normal phenomenon in children. Stranger anxiety
vasospasm throughout the body
-PROTEIN & CALCIUM DEFICIENCY THEORY begins at seven to nine months of life.  Noradrenergic,
-UTERINE ISCHEMIA serotonergic, and other neurotransmitter systems appear
-GENETIC PREDISPOITION to play a role in the body's response to stress. The
serotonin system and the noradrenergic systems are
common pathways involved in anxiety. Many believe
 NURSING DIAGNOSIS:
Anxiety r/t lack of knowledge regarding
symptoms, progression of condition, and
ANAPHY:
treatment regimen

Anxiety r/t recent or prolonged exposure to

stressful situations

NCP
DISCHARGE PLAN