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    NCP1

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    Arjay Español
    The patient reported high blood pressure and swelling in her feet. Her vital signs showed elevated blood pressure. The nursing diagnosis was decreased cardiac output related to decreased venous return likely due to preeclampsia. Preeclampsia is defined by high blood pressure and protein in the urine during pregnancy and can lead to serious complications if left untreated. The goal was for the patient to participate in activities to reduce blood pressure after 8 hours of nursing interventions. Interventions included monitoring vitals, providing a calm environment, activity restrictions, and dietary modifications.

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    NCP1

    Uploaded by

    Arjay Español
    83 views2 pages
    The patient reported high blood pressure and swelling in her feet. Her vital signs showed elevated blood pressure. The nursing diagnosis was decreased cardiac output related to decreased venous return likely due to preeclampsia. Preeclampsia is defined by high blood pressure and protein in the urine during pregnancy and can lead to serious complications if left untreated. The goal was for the patient to participate in activities to reduce blood pressure after 8 hours of nursing interventions. Interventions included monitoring vitals, providing a calm environment, activity restrictions, and dietary modifications.

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    The patient reported high blood pressure and swelling in her feet. Her vital signs showed elevated blood pressure. The nursing diagnosis was decreased cardiac output related to decreased venous return likely due to preeclampsia. Preeclampsia is defined by high blood pressure and protein in the urine during pregnancy and can lead to serious complications if left untreated. The goal was for the patient to participate in activities to reduce blood pressure after 8 hours of nursing interventions. Interventions included monitoring vitals, providing a calm environment, activity restrictions, and dietary modifications.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    83 views2 pages

    NCP1

    Uploaded by

    Arjay Español
    The patient reported high blood pressure and swelling in her feet. Her vital signs showed elevated blood pressure. The nursing diagnosis was decreased cardiac output related to decreased venous return likely due to preeclampsia. Preeclampsia is defined by high blood pressure and protein in the urine during pregnancy and can lead to serious complications if left untreated. The goal was for the patient to participate in activities to reduce blood pressure after 8 hours of nursing interventions. Interventions included monitoring vitals, providing a calm environment, activity restrictions, and dietary modifications.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Assessment Subjective: Mataas talaga ang presyon ko; namamanas yung paa ko as verbalized by the patient.

    Objective: -Edema -V/S taken as follows: T-36.9 PR-98bpm RR-21cpm BP-150/100

    Nursing Diagnosis Decreased cardiac output related to decreased venous return

    Inference Preeclampsia is a common problem during pregnancy. The condition sometimes referred to as Pregnancy Induced Hypertension is defined by high blood pressure and excess protein in the urine after 20 weeks of pregnancy. Often, preeclampsia causes only modest increases in blood pressure. Left untreated, however preeclampsia can lead to serious even fatal complications for both mother and baby.

    Goal of Care After 8 hours of nursing interventions, the patient will participate in activities that reduce blood pressure or cardiac work load.

    Intervention Independent: -Monitor blood pressure of the patient. Measure in both arms or thighs three times, 3-5 minutes apart while patient is at rest, then sitting, then standing for initial evaluation. -Observe skin color, moisture, temperature and capillary refill time. -Note dependent or general edema. -Provide calm, restful surroundings, minimize environmental acivity or noise. -Maintain activity restrictions. -Instruct in relaxation techniques. Dependent: -Implement dietary sodium, fat, and cholesterol restrictions as indicated.

    Rationale -Comparison of pressures provides a more complete picture of vascular involvement or scope of the problem. -Presence of pallor, cool, moist skin and delayed capillary refill time may be due to peripheral vasoconstriction. -May indicate HF, renal or vascular impairment. -Help reduce sympathetic stimulation, promotes relaxation. -Reduces physical stress and tension that affect blood pressure and course of hypertension. -Can reduce stressful stimuli, produce calming effect thereby reduce blood pressure. -These restrictions can help manage fluid retention and with associated hypertensive response, which decrease cardiac workload.

    Evaluation After 8 hours of nursing interventions, the goal was partially met even though the patient was able to participate in activities that reduce blood pressure or cardiac workload.

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