Terms in this set (12)
preclampsia is what?
HTN and PROTEINURIA that develops after 20 weeks (late second or early third)
preclampsia is a result of what?
generalized vasospasm (the cause is a MYSTERY)
preeclampsia lasts for how long?
the duration of the pregnancy and goes away after delivery
sometimes in preeclamptic patients what can happen to there BP in first couple days after delivery?
it can get worse
women that have preeclampsia are at high risk for what?
future pregnancies and developing eclampsia
risk factors for preeclampsia-
overweight, pre-prego diabetes
mostlikely to occur first pregnancy, women >35 black ladies, chronic HTN or renal disease, family hx, lupus and clotting disorders, male partner, multi fetal gestations(twins)
s/s of preeclampsia-
HTN, proteinuria, vasoconstriction in retina, decreased urine output, decreased deep tendon reflexes, edema of hands/face, low platlets/impaired coaggulation,
medical interventions for preeclampsia-
mad sulfate to prevent seizures and control BP
steroid injection to promote fetal lung maturity,
reflex test, sonography
nursing interventions with preeclampsia-
administer antihypertensives/mag sulfate
monitor mag levels
potential complications of preeclampsia-
can prevent placental profusion =low birth weight
LEADING CAUSE OF PREMATURE BIRTHS
bleeding problems, RUPTURE OF LIVER, STROKE
urine tests(protein) are given how often?
what antihypertensive drugs can we expect to be ordered?
apresoline, nefidipine, Beta blockers (olol)