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PBL

This document discusses problem-based learning objectives related to pre-eclampsia and eclampsia. It defines the difference between pre-eclampsia and eclampsia, and lists the key signs and symptoms of impending eclampsia. It also outlines the nursing and collaborative assessment and management of pre-eclampsia, including monitoring vital signs, administering magnesium sulfate to prevent seizures, and providing health teachings for home treatment such as diet, rest, and monitoring danger signs.

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310 views2 pages

PBL

This document discusses problem-based learning objectives related to pre-eclampsia and eclampsia. It defines the difference between pre-eclampsia and eclampsia, and lists the key signs and symptoms of impending eclampsia. It also outlines the nursing and collaborative assessment and management of pre-eclampsia, including monitoring vital signs, administering magnesium sulfate to prevent seizures, and providing health teachings for home treatment such as diet, rest, and monitoring danger signs.

Uploaded by

arn0ld21
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PROBLEM-BASED LEARNING

Learning Objectives: To differentiate pre-eclampsia from eclampsia To identify the signs and symptoms for impending eclampsia To determine the nursing and collaborative assessment for pre-eclampsia To determine the nursing and collaborative management for preeclampsia

Learning Questions: What is the difference between pre-eclampsia from eclampsia? What are the phatognomonic sign of pre-eclampsia? What are the manifestation of an impending eclampsia? What would be the necessary precautions needed for the progression of pre-eclampsia to eclampsia? What are the nursing considerations for a patient with pre-eclampsia? In case of home treatment, what would be the necessary health teachings that the nurse must give?

Other Answers: PATHOGNOMONIC SIGN OF PRE-ECLAMPSIA Hypertension, Proteinuria & Edema PRE-ECLAMPSIA IMPENDING ECLAMPSIA (S & Sx) The client may experience frontal or sometimes occipital headache that is not relieved by analgesics, visual disturbances (blurring, visual spots or floaters), right upper quadrant or epigastric pain, nausea and vomiting, and may exhibit hyperreflexia, altered sensorium, irritability, onset of fever cyanosis, pulmonary edema or oliguria. NURSING & COLLABORATIVE ASSESSMENT: All clients are screened for signs and symptoms of pre-eclampsia in each prenatal visit, especially during 2nd and 3rd trimester. o Attention is focused on: BP Monitoring Presence of protein in urine Presence and degree of edema Pattern of weight gain Deep tendon reflex Fetal growth Fetal heart rate Presence of warning signs - Headache - Visual disturbances - Right upper quadrant or epigastric pain

NURSING & COLLABORATIVE MANAGEMENT: Early detection and management of pre-eclampsia. Management goals focus on maintaining pregnancy until fetus is mature Modified bed rest with left lateral position to decrease pressure on vena cava that may affect placental and renal perfusion. Dietary restrictions are no longer addressed. It is advised that the patient have regular and well balanced diet but with no additional salt intake Administer magnesium sulfate to prevent convulsions. If BP is too high, administer hydralazine. o Check or monitor for reflexes, respiratory and blood level of magnesium o Calcium gluconate must be readily available at the bed side. HOME TREATMENT (HEALTH TEACHINGS) FOR MILD PRE-ECLAMPSIA Try to stay in bed as much as possible and lie on left side. Assure that increase in voiding is normal and advise that while being on bed, rest for 1 to 2 days. Eat a well balanced diet with moderate salt intake and increase fluid intake to 6-8 oz glass per day. Try to keep a quiet environment with minimal stimulation. Excessive stimulation may aggravate PIH Consult at least one or twice a week for BP and fetal monitoring. If possible, have a daily BP monitoring. Inform if experiencing danger signs

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