PASCUA, AYANAMI T.

FEBRUARY 7, 2023
BSN 2-B MA’AM CATHERINE TORIO

ASSIGNMENT NO. 3
( PREGNANCY INDUCED HYPERTENSION ; HYPEREMESIS GRAVIDARUM )

TERMS AND DEFINITION CAUSES SIGNS AND SYMPTOMS RISK FACTORS LABORATORY PROCEDURE NURSING/MEDICAL MANAGEMENT

Pregnancy Induced  Hypertension Pre-eclampsia  Maternal age less  Urinalysis by dipstick  Antihypertensive drugs to lower blood
Hypertension is a condition  Proteinuria  Hypertension than 20 years  24 hrs. urine collection pressure
wherein vasospasm occurs  Genetics  Proteinuria  Multigravida  CBC (platelets &  Anticonvulsant medication to prevent
during pregnancy in both the  Diet  Severe headache  Molar pregnancy hematocrit) seizures
small and large arteries in  Vision problems, such as  Triploidy  Renal function (uric acid,  Corticosteroids to promote
the body. blurring or flashing  Pre-existing s. creatinine, urea) development of your baby's lungs
 Pain just below the ribs hypertension or renal  Liver function tests before delivery
Hypertension is defined as  Vomiting disease  Coagulation profile
systolic pressure of at least  Sudden swelling of the face,  Previous severe Pre-  Fetal ultrasound
140mm of Hg and diastolic hands or feet eclampsia or
pressure off at least 90 mm Eclampsia
of Hg Eclampsia  Non-immune hydrops
 Severe headaches. fetalis
Pre-eclampsia is new  Difficulty breathing.  Systemic Lupus
hypertension presenting  Nausea or vomiting. Erythematosus
after 20 weeks with  Trouble urinating or not
significant proteinuria urinating often.
 Abdominal pain (especially
Eclampsia is a convulsive on the upper right side).
condition associated with  Blurred vision, seeing double
pre-eclampsia. It is a severe or loss of vision.
form of preeclampsia that  Swelling of the hands, face
causes seizures. or ankles.
 Seizures.
 Severe distress or confusion.
 Losing consciousness.
Hyperemesis Gravidarum
is a severe type of vomiting
of pregnancy which has got
deleterious effect on health
of the patient and/or
incapacitates her day-to-day
activities
 Unknown  Excess vomiting & retching day  Age below 17 years  Urinalysis Hospitalization
 Trophoblastic and night and over 35 years  Biochemical and  Admit the patient
disease  Epigastric pain  Primigravidae circulatory changes  Open IV line and correct fluids
 Multiple pregnancy  Constipation  Multiple pregnancy (serum electrolytes)  Send for relevant investigations
 Nulliparity  Ptyalism  Underweight and  Ophthalmoscopic  Maintain an intake-output chart
 Female fetus  Spitting obesity examination  Monitor urine output (catheterize the
 Age >30 years  Fatigue  Psychological factors  ECG (if has abnormal patient)
 Maternal obesity  Anorexia such as unwanted serum potassium level)  Monitor the vitals
 Smoking  Signs of dehydration and pregnancy and  Test the urine periodically for ketone
 Those who had HEG ketoacidosis marital problems bodies
in previous  Dry coated tongue  H/O hyperemesis
pregnancy  Sunken eyes gravidarum Fluids
 Has got familial  Acetone smell in breath  Trophoblastic  Oral feeding is withheld for at least 24
history  Tachycardia disease hours after the cessation of vomiting
 Postural hypotension  During this period, fluid given through
 Raise in temperature IV drip method
 Jaundice (later stage)  Internal nutrition through nasogastric
 Vaginal examination and USG tube may be given
is done to confirm pregnancy
Drugs
 Antiemetic (Promethazine,
Triflupromazine, Metoclopramide,
Hydrocortisone, Prednisone)
Nursing Care
 Daily monitoring
 Monitor lab results for dehydration
 Monitor FHR, Fetal activity and growth
 Encourage patient to sit in upright after
meal
 Encourage small and frequent meals
 Liquids should be taken between meals
to avoid distending stomach and
triggering vomit