nursing care plan for hypertension in pregnancy
To lower blood pressure levels antihypertensives that are safe for pregnancy should be prescribed. Hypertension nursing care plans 4 anemia nursing care.
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Hypertension or high blood pressure BP is defined as a persistent systolic blood pressure SBP greater than or equal to 140 mm Hg diastolic blood pressure DBP greater than or equal to 90 mm Hg or current use of antihypertensive medication.
. Developing a knowledge deficit nursing care plan for hypertension. Use the NANDA definition and potential evidence to determine the correct nursing care plan for hypertension. Recent guidelines also encourage women with chronic hypertension to keep their dietary sodium intake low either by reducing or.
Another priority is to ensure the mothers safety and deliver a healthy newborn as close to a full term as possible. A Nursing Care Plan NCP for Hypertension HTN starts when at patient admission and documents all activities and changes in the patients condition. NURSING PRIORITIES 1.
It accounts for approximately 14 of all maternal deaths worldwide. Weight reduction has a good impact on lowering blood pressure. The goal of an NCP is to create a treatment plan that is specific to the patient.
Maintain a healthy weight if you are overweight commit to losing weight through healthier eating and regular exercise. 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 1. The goal of an NCP is to create a treatment plan that is specific to the patient.
Below are six nursing care plans for hypertension. Monitor maternal fetal and placental status. A less restricted blood-pressure goal could be set for hypertensive women planning for pregnancy.
DASH diet contains fruits vegetables is high in low-fat dairy products low in total and saturated fats. DASH provides the patient with key nutrients that can aid in lowering blood pressure. Blood pressures over 150100mmHg typically require antihypertensive therapy.
Hypertensive Disorders of Pregnancy and Eclampsia Nursing Care Plan. Tell patient to record weight at home in between visits. Pregnancy nursing care plan anemia docshare04 docshare tips nursing care plan for preeclampsia hyperemesis gravidarum nursing care plan amp management nursing.
Abrupt notable weight gain eg more than 33 lb 15 kgmonth in the second trimester or more than 1 lb 05 kgwk in the third trimester reflects fluid retention. 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. 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.
Pregnanciesifstableuntilafter37weeksandnolonger need to have antihypertensive therapy bed rest or in- trapartum magnesium sulfate. 5 rows Prevention of Pregnancy Induced Hypertension PIH. Hypertension or high blood pressure can cause severe health problems especially if the sufferer doesnt make lifestyle changes to combat it.
Nursing Care Plans Nursing care planning and management for pregnant clients with hypertensive disorders or preeclampsia involve early detection thorough assessment and prompt treatment of preeclampsia. There is a direct relationship between hypertension and cardiovascular disease CVD. Once diagnosed treatment for hypertension during pregnancy aims to reduce maternal risks and achieve optimal perinatal survival.
These six care plans cover the main issues associated with hypertension. Each one includes its own nursing diagnosis NANDA definition possible signs of evidence desired outcome and nursing interventions. Prevent or reduce progressive fluid accumulation and other complications.
Promote positive maternalfetal outcome. Severe pre-eclampsia may require corticosteroids to help boost platelets and liver function as well as to speed up the maturity of the babys lungs. Although the primary sign of pregnancy is a missed period many women experience other symptoms before noticing changes in.
Nifedipine labetalol and methyldopa are most commonly used. A Nursing Care Plan NCP for Gestational Hypertension Preeclampsia Eclampsia starts when at patient admission and documents all activities and changes in the patients condition. Hypertensive disorders of pregnancy are a leading cause of morbidity mortality hospitalization and resource utilization for both mothers and their neonates globally.
A healthy body weight before pregnancy could lower the risk of pregnancy-related hypertensive disorders. Eat healthy- a diet that is high in fiber fruits and vegetables can help relieve some of the symptoms associated with hypertension. Provide information to enhance self-care and therapeutic management.
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. Encourage the mother to drink at least 8. Rationales and strategies for adopting the Dietary Approaches to Stop Hypertension DASH diet.
To prevent seizures magnesium sulfate may be prescribed. And rich in potassium magnesium and calcium. INDICATIONS FOR PRETERM DELIVERY AND INTRAPARTUM MANAGEMENT.
The task force still recom- mends magnesium sulfate therapy for pregnant women with severe preeclampsia eclampsia and HELLP syn- drome at any gestational age. Plan nursing management care authorstream nursing diagnosis knowledge deficit specify elsevier 6 pregnancy induced 1 6.
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