NURS3244 Lecture Notes - Lecture 6: Gravidity And Parity, Stillbirth, Laparoscopy
5 Sep 2016
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Gestational hypertension: onset of bp in normotensive woman after 20 weeks gestation w/o any other symptoms; pt should have bp during pregnancy. >140/90 on two separate occasions, 4-6 hrs apart within one week. More accurate to say 30 systolic change, 15 diastolic change. Proteinuria is hallmark trait of disease; 1+ on dip on at least 2 random collections 6 hrs apart. 24 hr collection will reveal 300mg of protein. Silent killer; pts will feel fine until they don"t feel fine. Vasospastic disease: walls of vasculature get tight then open up really fast body thinks this is traumatic and brings platelets clumping and plateless loss occurs poor blood flow, less perfusion to organs. Severe: organs blow up basically; 160/110 bp. Hemolysis, elevated liver enzymes, low platelet count. Pts have severe preeclampsia, severe fatigue, epigastric pain. Nursing assessment & physical exam for severe preeclampsia: Bp, weight, edema, neuro changes, severe epigastric pain, pulmonary edema.
