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Ms. Barbie Primary Diagnosis: Eclampsia (Assessment Data (Deep tendon…
Ms. Barbie
Primary Diagnosis: Eclampsia
Assessment Data
Deep tendon reflexes should be monitored
Continue to monitor blood pressure
Monitor urine output every hour to monitor kidney function. There should be at least 30 mL/hour of urine output. If not, kidney failure should be suspected.
Signs/Symptoms
Additional signs:
Vascular constriction and and narrowing of small arteries in the retina
Deep tendon reflexes are brisk (hyperreflexia)
Edema
Liver, renal, and hepatic dysfunction
Severe symptoms: Headache, drowsiness, mental confusion, visual disturbances, or stomach pain
Early symptoms: hypertension and proteinuria
Risk Factors
Gestational Diabetes
First pregnancy
African American
Nursing Interventions
Pharmacological
Antihypertensives, such as Hydralazine (Apresoline), is commonly used due to its record of safety
Magnesium sulfate is the drug most commonly used in the management of preeclampsia
Non-Pharmacological
Delivery of the baby, since the preeclampsia is severe and the baby is 35 weeks (developed lung capacity)
Immediate bed rest with dark, quiet environment to help prevent seizures