nursing care plan for hypertension in pregnancy
DASH diet contains fruits vegetables is high in low-fat dairy products low in total and saturated fats. 5 rows Prevention of Pregnancy Induced Hypertension PIH.
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Restrict activity rather than instituting complete bed rest.
. For preg-nancy current recommendations state women with a prior history of a preterm birth due to preeclampsia or preeclampsia in more than 1 pregnancy the use of low-. DASH provides the patient with key nutrients that can aid in lowering blood pressure. Monitor maternal fetal and placental status.
Hypertensive disorders of pregnancy are the most common medical complication reported during pregnancy Patients who receive Nurse-Family Partnership services have 35 less cases of Preeclampsia Significance Chronic Hypertension in pregnancy- 5 of all pregnancies Hypertension in Pregnancy including Preeclampsia complicates up to. A healthy body weight before pregnancy could lower the risk of pregnancy-related hypertensive disorders. A Nursing Care Plan NCP for Hypertension HTN starts when at patient admission and documents all activities and changes in the patients condition.
Nursing Care Plan for Preeclampsia 1. Provide information to enhance self-care and therapeutic management. NURSING PRIORITIES 1.
These six care plans cover the main issues associated with hypertension. Severe preeclampsia treatment consist of complete bed rest balanced diet with high protein and low to moderate sodium administration of sulfate fluid and electrolyte replacements and sedative antihypertensives such as diazepam or Phenobarbital or an. The goal of an NCP is to create a treatment plan that is specific to the patient.
Anti -hypertensive drugs pre pregnancy antenatally and in the postnatal period 11. ACOG recommends Methyldopa Labetalol and Procardia as first line medications in the treatment of hypertension in pregnancy and the use of diuretics only as a second line medication in situations that specifically call for such a mechanism of action. Aid in the selection of appropriate food and DASH Dietary Approaches to Stop Hypertension like increasing intake of whole grains low-fat dairy fruits and vegetables.
Blood pressures over 150100mmHg typically require antihypertensive therapy. Instruct the client to elevate legs when sitting or lying down. Recent guidelines also encourage women with chronic hypertension to keep their dietary sodium intake low either by reducing or.
149 or more and diastolic at 90 or higher stage 2. Nursing Care Plan for Gestational Hypertension Preeclampsia Eclampsia Study Tools. Reduced placental perfusion causes systemic vascular endothelial dysfunction which is the pathophysiology of pregnancy-induced hypertension.
The first stage is a foolproof nursing diagnosis. Nifedipine labetalol and methyldopa are most commonly used. Nursing Care Plan for Pregnancy Induced Hypertension PHI Pregnancy-induced- hypertension PIH is a potentially life-threatening disorder that usually develops after the 20th week of pregnancy.
Nursing Interventions and Rationales 1. This means the fetus is pre-term and wont be fully developed yet. Weight reduction has a good impact on lowering blood pressure.
Stage 2 hypertension is a blood pressure greater than. 121-129 to less than 80 elevated. Higher than 180 for systolic and more than 120 for diastolic hypertensive crisis.
Promote positive maternalfetal outcome. Encourage the mother to drink at least 8. Nursing care plan for hypertension in pregnancy.
130-139 to 80-89 stage 1. Pregnancy is at increased risk of cardiovascular disease later in life. And rich in potassium magnesium and calcium.
Rationales and strategies for adopting the Dietary Approaches to Stop Hypertension DASH diet. Based on the above the nursing care plan hypertension is drawn. Each one includes its own nursing diagnosis NANDA definition possible signs of evidence desired outcome and nursing interventions.
Provide frequent rest periods with bed rest. Okay guys Im excited to work through an example nursing care plan for you for a patient with hypertension. Prevent or reduce progressive fluid accumulation and other complications.
Below are six nursing care plans for hypertension. Therefore our priority should be given to reduce blood pressure and restoring the hemodynamic stability of the mother. Epigastric pain or pain in right upper quadrant Decreased platelet count Intrauterine growth restriction In this case the patient is just 35 th week of gestation.
This occurs when the uterine spiral arteries are unable to vasodilate reducing the fetus blood and food supply while raising the mothers. Use the NANDA definition and potential evidence to determine the correct nursing care plan for hypertension. Once diagnosed treatment for hypertension during pregnancy aims to reduce maternal risks and achieve optimal perinatal survival.
Education to modify lifestyles to address these issues is a cornerstone of nursing care. Hypertensive disorders of pregnancy are a heterogeneous group of conditions that include chronic hypertension gestational hypertension preeclampsia and preeclampsia superimposed on chronic hypertension1 Hypertension in pregnancy is defined as a systolic BP of 140 mm Hg and a diastolic BP of 90 mm Hg on two separate measurements at least 46. A less restricted blood-pressure goal could be set for hypertensive women planning for pregnancy.
Severe preeclampsia treatment consists of complete bed rest balanced diet with high protein and low to moderate sodium administration of sulfate fluid and electrolyte replacements and sedative hypertensives such as diazepam or phenobarbital or an anticonvulsant such as phenytoin.
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