Question

What are nursing diagnosis (at least three) for a patient with preeclampsia, with implementation, plan and evaluation. Nursing care plan, debrief for preeclampsia

Answer 1

Nursing DIAGNOSIS for pre eclampsia -

• An elevated BP of more than 140/90 mm hg after 20 weeks of pregnancy.
• Presence of protein in urine .
• Patient may have edema in feet and face.
• Ineffective tissue perfusion leading to vasoconstriction of blood vessels.

PLAN AND EVALUATION-

• Maternal evaluation includes monitoring BP, urine output signs and symptoms like headache , visual disturbance and abdominal pain.
• Ask the mother to take adequate rest.
• Monitor blood pressure regularly.
• Monitor urine input and output frequently in a day.
• Administering ANTI- hypertensive on physicians advice.
• Look for any signs of fluid overload.
• Check for fetal heart rate .
• Provide Nutrition and lifestyle education.