Nursing Diagnosis Of Preeclampsia

Preeclampsia is a disorder that affects pregnant women, and is characterized by high blood pressure and protein in the urine. It can lead to eclampsia, which means convulsions. Preeclampsia occurs between weeks 20 and 40 of pregnancy, but can also occur after childbirth. If you are experiencing symptoms such as swelling (particularly of the hands), vision changes, headaches or blurred vision—see your healthcare provider immediately.

Nursing Diagnosis Of Preeclampsia

1 Chronic Pain related to generalized body pain

Pain is a common symptom of preeclampsia, chronic hypertension and heart disease. Some people with kidney disease experience pain in the back or side that isn’t relieved by taking over-the-counter painkillers.

The condition that causes this type of pain can be different for each patient, but there are ways to manage it. If you have chronic pain from preeclampsia, talk to your doctor about your options for treatment and relief.

2 Ineffective airway clearance related to increased secretions

• Ineffective airway clearance related to increased secretions
• Chronic cough
• Difficulty breathing or swallowing
• Difficulty speaking or sleeping

3 Ineffective breathing pattern related to increased anxiety, shortness of breath, muscle spasm

The patient will experience ineffective breathing patterns related to increased anxiety, shortness of breath, muscle spasm and increased secretions. This may be manifested by dyspnea (difficulty breathing), tachypnea (abnormally rapid breathing), or hypoventilation (inadequate levels of oxygen).

4 Impaired gas exchange related to decreased pulmonary function, impaired oxygenation

Preeclampsia can cause respiratory distress. Preeclampsia is a condition that affects women during pregnancy and causes high blood pressure, fluid retention and protein in the urine. These symptoms can affect your lungs, making it difficult to breathe properly. If you have preeclampsia, you may experience shortness of breath or even respiratory failure (when your body’s organs are no longer able to function properly). You may also be at risk for pulmonary edema (fluid accumulation in your lungs).

5 Risk for injury related to peripheral neuropathy and seizures, seizure precautions

Risk for injury related to peripheral neuropathy and seizures, seizure precautions

Seizures are a risk factor for falls. As a result, the client may need to be on bed rest or in a wheelchair. The client’s environment should be kept free of hazards such as electrical cords, sharp edges and corners that can cause injury if hit during a seizure. The nurse should also observe the client closely for signs associated with an imminent seizure (e.g., abdominal pain). When a seizure occurs, it is essential that the patient not be left alone until after he or she is completely awake and able to respond appropriately again.

6 Activity intolerance related to muscle weakness, altered level of consciousness

Activity intolerance related to muscle weakness, altered level of consciousness

Activity intolerance related to muscle weakness

Activity intolerance related to altered level of consciousness

7 Disturbed thought processes related to acute confusion and altered sensorium

• Altered sensorium
• Acute confusion
• Altered level of consciousness
• Confusion (cognitive disorganization, memory impairment)

Altered mental status including delirium is a cardinal feature of preeclampsia. Delirium may be manifested by acute confusional state or altered level of consciousness.

8 Knowledge deficit about disease process, prognosis, management regimen including medications and follow up care.

Preeclampsia is the sudden onset of high blood pressure and other signs of organ dysfunction during pregnancy. It can develop after 20 weeks’ gestation and sometimes earlier. Preeclampsia may be present for a few days to a few weeks before it’s recognized, but symptoms typically last longer than seven days. Symptoms also may not be present until after delivery, when they’re called postpartum preeclampsia (PPE). If left untreated, PPE can result in serious complications for both mother and baby that may require an emergency cesarean section delivery or intensive medical care in the neonatal intensive care unit (NICU).

9 This is the nursing diagnosis of preeclampsia

Preeclampsia is a nursing diagnosis. It is defined as the onset of hypertension and proteinuria following 20 weeks gestation. Preeclampsia occurs in 3% to 8% of pregnancies, with rates varying by race/ethnicity and geographic location. Preeclampsia can be life-threatening to both mother and fetus, especially when left untreated or if it worsens during pregnancy.

Closing

This is the nursing diagnosis of preeclampsia.