Republic of the Philippines

BATANGAS STATE UNIVERSITY

The National Engineering University
Rizal Avenue Ext., Batangas City, Batangas, Philippines 4200
Tel Nos.: (+63 43) 980-0385; loc 1127

Office of the College of Nursing and Allied Health Sciences

Name: (Surname first) Date:

Block: BSN Course Code: NCM 109 (Lecture)

Case: Pregnancy induced hypertension

ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Decreased Cardiac Output Short Term Goal: INDEPENDENT: - Blood pressure may be Short Term:
Subjective: related to decreased venous After 5 hours of nursing - Assess blood pressure elevated because of the Goals were met after 5 hours of
“Hindi po ako maka-galaw ng return intervention, and pulse every one increase in systemic nursing intervention; the client
maayos, nahihilo po ako kada evidenced by the alteration in - The client will hour as indicated vascular resistance has experienced relief from
ibo ko ng katawan” blood pressure experience relief from - Weight patient - Sudden increase in dizziness and the client will
dizziness and the client regularly weight indicates fluid report a normal BP from
Objective: will report a normal BP - Assess for crackles, retention and may 150/100 to 120/90
(+) discomfort from 150/100 to 120/90 wheezes and dyspnea signify progression of
(+) dizziness disease and impaired Long Term:
Long Term Goal: DEPENDENT: renal function Goals were met after 1 week of
Physical Assessment: After 1 week of nursing - Administer oxygen as - Pulmonary edema may nursing intervention; the client
The client has decreased venous intervention, prescribed transpire with has maintained adequate blood
return - The client will maintain - Administer modification in pressure within acceptable limits
adequate blood pressure antihypertensives. peripheral vascular
Vital Signs: within acceptable limits - Implement seizure resistance and a drop in
BP: 150/100 precautions as ordered plasma colloid osmotic
pressure.
COLABORATIVE: - Increase the amount of
- Provide nutrition and oxygen available for
lifestyle education heart function which
will increase the blood
supply to the placenta
and fetus
- Cardiac medications
should be administered
to reduce hypertension
with precautions that

Leading Innovations, Transforming Lives, Building the Nation

 Republic of the Philippines
BATANGAS STATE UNIVERSITY
The National Engineering University
Rizal Avenue Ext., Batangas City, Batangas, Philippines 4200
Tel Nos.: (+63 43) 980-0385; loc 1127

Office of the College of Nursing and Allied Health Sciences

are safe for the mother

and the fetus
- Preeclampsia may
progress over time or
suddenly to eclampsia
and result in seizures
- Low sodium diet to
help reduce edema,
Encourage patient to
rest on the left side to
prevent compression of
the vena cava

Leading Innovations, Transforming Lives, Building the Nation

 Republic of the Philippines
BATANGAS STATE UNIVERSITY
The National Engineering University
Rizal Avenue Ext., Batangas City, Batangas, Philippines 4200
Tel Nos.: (+63 43) 980-0385; loc 1127

Office of the College of Nursing and Allied Health Sciences

Checked and reviewed by:

_____________________________
Noami Miryam M. King, RN
NCM 109 Instructor

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