The task force now recommends 72 hours of observation during the immediate postpartum period. Increase prenatal checkups. Risk for Injury: Vulnerable for injury as a result of environmental conditions … To monitor effectiveness of medical treatment for the pain relief. No fluid restriction. With pregnancy, management must be individualized, and patients should be cared for as part of an experienced multidisciplinary team. Outline appropriate nursing management to promote maternal self-care and to minimize the common discomforts of pregnancy. Assess the patient’s activities of daily living, as well as actual and perceived limitations to physical activity. Discuss with the patient the short term and long-term goals of achieving/maintaining an ideal weight during pregnancy. Desired Outcome: The patient will maintain safety and participate in measures that will protect self during pregnancy. For … Assessment 1. Hypertension may start before you become pregnant, or develop during pregnancy. Table 2 : Ongoing treatment with antihypertensive medication B. We are compensated for referring traffic and business to Amazon and other companies linked to on this site. Place the patient in complete bed rest during severe headaches. DASH provides the patient with key nutrients that can aid in lowering blood pressure. Monitor blood pressure in sitting or side-lying position. The healthcare team may use different methods to monitor the baby, including biophysical profile, non-stress test, and Doppler flow studies. To effectively monitory the patient’s daily nutritional intake and progress in weight goal. 4. They can be used post-partum and are compatible with breastfeeding. Required fields are marked *. B. The nursing concepts are going to be reproduction because gestational hypertension is caused by the reproduction and always remember there’s a second life at stake. Ask for any form of exercise that he/she used to do or wants to try. Low impact exercises for 30 minutes a day is also recommended to prevent PIH. This site uses Akismet to reduce spam. Uncontrolled PIH may lead to restriction of fetal growth or stillbirth. Preeclampsia is a progression and could progress and worsen. Leave a comment This site is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Delivery is the only treatment or cure. To gradually increase the patient’s tolerance to physical activity. Desired Outcome: The patient will maintain safety and participate in measures that will be able to protect herself during pregnancy. Nursing Diagnosis: Risk for Maternal Injury related to potential organ damage and seizure. Bedrest and stress management. Risk for Injury: Vulnerable for injury as a result of environmental conditions … The overall goal is to ensure the safety of both the mother and her baby. Perform urine dipstick analysis using a midstream urine (MSU). Activity Intolerance 3. The patient will have proteinuria. Blood pressure monitoring – consistently high blood pressure levels during 2-3 monthly checkups, Weight monitoring – weight gain is one of the symptoms of PIH. Help the patient to select appropriate dietary choices to avoid protein deficiency. He states his wife took his blood pressure from his home blood pressure machine at home and it read 210/110. Ultrasound transducer and non-stress test – to monitor the heart rate of the baby. Nursing Care Plan for Hypertension Full Tex t Nursing Diagnosis. Adequate hydration, low salt diet, and regular prenatal checkups are also important. NANDA defines activity intolerance as the inadequate psychological energy to … 1,240 Views. The primary nursing responsibilities for long-term management of hypertension are to assist the patient in reducing BP and complying with the treatment plan. Risk for Decreased Cardiac Output 2. Corticosteroids. The 22-year-old client with gestational hypertension whose latest BP was 141/89 ... 5 Steps to Writing a (kick ass) Nursing Care Plan. 1,467 Views. Nursing Care Plan helping nurses, students / professionals, creating NCP in different areas such as medical surgical, psychiatric, maternal newborn, and pediatrics. Desired Outcome: The patient will be able to achieve a weight within her normal BMI range, demonstrating healthy eating patterns and choices during pregnancy. This involves having a low protein and/or caloric intake and being overweight or underweight by 20% prior to pregnancy. The baby may be delivered earlier than expected if the risks for the mother and the baby become higher. Advise the mother to put up her feet on a stack of 2 pillows while sleeping to improve blood circulation and reduce edema of the legs and feet. Method for Mastering Nursing Pharmacology. To provide a more specialized care for the patient in terms of nutrition and diet in relation to PIH. 1. The goal is to stabilize blood pressure at … Nursing Diagnosis: Acute Pain related to increased strain in cardiac muscles secondary to pulmonary hypertension, as evidenced by pain score of 10 out of 10, verbalization of pressure-like chest pain, guarding sign on the chest, heart rate of 120 bpm, respiratory rate of 29 cpm, and restlessness … Uteroplacental dysfunction. Promote positive maternal/fetal outcome. PIH may cause fatigue and exhaustion of the pregnant patient, so it is best to have the partner or a carer beside her at all times and ensure her safety and assist her to perform activities of daily living. Let us get to know hypertension more by its definitions. This is due to the increased resistance in the blood vessels as blood pressure elevates, resulting to a lesser supply of blood to the liver, kidneys, brain, placenta, and uterus. To monitor circulatory blood volume. To closely monitor the symptoms of PIH and deficient fluid volume in the appropriate setting. Risk for Imbalanced Nutrition: Less than Body Requirements. If there is no protein that it is only gestational hypertension. The S.O.C.K. 6. PIH is a manageable health condition that can be monitored and treated properly with the above nursing care plans. Create a daily weight chart and a food and fluid chart. This module provides nurses with information about the differentiation of hypertensive disorders of pregnancy, the effect on the mother and fetus, and recommended management. This is diagnosed when blood pressure exceeds 140/90. According to 2011 data, from the Informatics ... reasoned plan of care in the incorporation of research to practical results. Angiotensin converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) are contraindicated in pregnancy. Thus, this study aimed to analyze the available evidence … Risk for Maternal Injury. Pregnancy-induced hypertension (PIH) is a medical condition wherein the pregnant mother experiences elevated blood pressure levels during pregnancy. Pregnancy can cause high BP, or it may develop because of other risk factors you had before you became pregnant. Method for Mastering Nursing Pharmacology. 1.8 Medical management of severe hypertension, severe pre-eclampsia or eclampsia in a critical care setting 1.9 Antihypertensive treatment during the postnatal period, including during breastfeeding 1.10 Advice and follow-up at transfer to community care Provide a schedule of at least every weeks for prenatal visit of a pregnant woman with mild PIH, and weekly visits if PIH is severe. To treat the underlying cause of acute suboccipital pain, which is hypertension. Most would say thin the initial … The mother or a family member may be instructed on how to perform blood pressure monitoring at home. Your email address will not be published. Assess vital signs, conduct physical examination, and commence daily weight monitoring. Medical treatment and nursing care for patients with preeclampsia superimposed on chronic hypertension is similar to that of gestational hypertension and preeclampsia. Nausea and vomiting in pregnancy nvp is very common and ranges in severity from mild to severe. Nursing Diagnosis: Risk for Maternal Injury related to tissue edema. Prevent or reduce progressive fluid accumulation and other complications. Perfusion is the other concept because we are concerned with the high blood pressure and the organs including the placenta not getting perfused the way that they should. To decrease cerebral vascular pressure and promote blocking of sympathetic response. This site is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. 3. Imbalanced Nutrition: More Than Body Requirements 6. Cerebral edema and vasoconstriction reduce the oxygen supply in the brain, which may result to celebral ischemia and is evidences by lower levels of consciousness using AVPU scale (i.e. Their use in the third trimester has been associated with fetal death and neonatal renal failure. Encourage progressive activity through self-care and exercise as tolerated. To lower blood pressure levels, improve cardiac rate, and enhance renal-placental perfusion. Aid in the selection of appropriate food and DASH (Dietary Approaches to Stop Hypertension), like increasing intake of whole grains, low-fat dairy, fruits, and vegetables. 6. Maintain client on bed rest (left lateral recumbent usually best) and plan care to promote rest. Consume less salt. Hypertensive disorders are the second leading cause of maternal deaths, being only be- ... reasoned plan of care in the incorporation of research to practical results. Learn how your comment data is processed. Age of the mother (younger than 20 or older than 40), multiple fetuses (such as twins, triplets, etc.). Ensure that the exercise is safe to perform during the patient’s current stage of pregnancy. Administer anti-hypertensive medications. To give the patient enough information on the warning signs of abruptio placentae, which include uterine tenderness, vaginal bleeding, decreased fetal activity, and abdominal pain. Your email address will not be published. 2. To ensure that the mother has adequate oral hydration or if there is a need to commence IV hydration therapy. Pregnancy-induced hypertension (PIH), also known as gestational hypertension, is... Signs and Symptoms. Consuming salt between 2 to 4 g per day is ideal as very low salt intake may increase dehydration, while high salt intake may cause edema formation. Encourage the pregnant patient to follow a healthy lifestyle, such as smoking cessation and avoidance of illegal drug use, proper hydration, enough sleep, and appropriate diet. It affects people from all walks of life. Nurse Tutoring, Nursing school help, nursing school, Nursing student, nursing student help, NCLEX, NCLEX Practice exams For pregnancy, current recommendations state women with a prior history of a preterm birth due to preeclampsia or preeclampsia in more than 1 pregnancy, the use of low-dose aspirin therapy is suggested. Educate the patient on the signs of abruptio placenta and instruct to get help immediately if any of these occur. Refer to a dietitian as needed. Alternate periods of physical activity with rest and sleep. Their use in the third trimester has been associated with fetal death and neonatal renal failure. Pregnancy-Induced hypertension Evangelia Kintiraki, 1 Sophia Papakatsika, 2 George Kotronis,2 Dimitrios G. Goulis,1 Vasilios Kotsis2 1Unit of Reproductive Endocrinology and Unit of Human Reproduction, First Department of Obstetrics and Gynecology, 2Third Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece AbstrAct pregnancy-induced hypertension … To check for the presence of protein in the urine. 5. Activity intolerance. The most common symptoms of PIH include: PIH has an unknown cause. Pregnancy Induced Hypertension PIH. 1.8 Medical management of severe hypertension, severe pre-eclampsia or eclampsia in a critical care setting 1.9 Antihypertensive treatment during the postnatal period, including during breastfeeding 1.10 Advice and follow-up at transfer to community care nursestudynet@gmail.com Tags pih nursing Pregnancy induced hypertension, Paralytic Ilius NCLEX Review Care Plans Nursing Study Guide on Paralytic Ileus Paralytic ileus is …, Your email address will not be published. Over the next several weeks, KW's monitoring included ... of early-onset preeclampsia that required delivery before 34 weeks' gestation or preeclampsia in … Some don’t realize this is happening until end-organ damage occurs, li… Desired Outcome: The patient will maintain safety and participate in measures that will protect self during pregnancy. Good body alignment—tuck pelvis under; tighten abdominal muscles. The diagnosis of pulmonary hypertension in pregnancy is important, as it is associated with high rates of maternal morbidity and mortality, even with modern management. There can also be some dysfunction in the organs of the mother, such as elevated liver enzymes, thrombocytopenia (low platelet count) or renal insufficiency. Blood pressure monitoring. Hypertension is defined as a systolic blood pressure greater than 140 mmHg and a diastolic pressure of more than 90 mmHg. Start input and output monitoring. Below are 5 effective Pregnancy Induced Hypertension nursing care plans that can be used to deliver excellent nursing care to a pregnant patient with PIH.eval(ez_write_tag([[336,280],'nursestudy_net-medrectangle-4','ezslot_11',116,'0','0'])); Desired Outcome: Patient has stable fetal heat rate when subjected to contraction stress test. Monitor intake and output (I&O) and proteinuria. Hypertension in Pregnancy •Ranks 5th as contributor to maternal and perinatal morbidity and mortality •Texas ranks 43rd for Maternal Mortality- Black women died 2.3 x greater rate •Hypertensive disorders of pregnancy are the most common medical complication reported during pregnancy Stress causes a persistent increase in cortisol levels, which has been linked to people with hypertension. My blood pressure is always high and I feel light-headed when I suddenly move.” as claimed by patient. Postpartum recommendations for women with hypertensive disorders in pregnancy except chronic hypertension have changed as well. Nursing Care Plans for HELLP Syndrome Nursing Care Plan 1. 2. If the baby needs to be delivered prematurely, give IM corticosteroids as prescribed, not more than 7 days prior to expected date of delivery. Nurse Tutoring, Nursing school help, nursing school, Nursing student, nursing student help, NCLEX, NCLEX Practice exams Delivery. Advise the woman not to restrict her fluids to diminish the frequency of urination, instead; caffeine intake should be diminished. 7. This complication of PIH is mainly characterized by high blood pressure and proteinuria. A plan of care specifically designed for the woman with preeclampsia must be superimposed on the nursing care all women need during labor and the birth process. FOREWORD. Here are six (6) nursing diagnosis for hypertension nursing care plans: 1. instead of Alert, the patient is only responsive to Voice, Pain stimuli, or Unresponsive/unconscious). Woman with hypertension of pregnancy may have mild elevation in blood pressure or severe hypertension with various organ dysfunction. Desired Outcome: The patient will demonstrate relief of pain as evidenced by a pain score of 0 out of 10, stable vital signs, and gaining a better appetite. Suggestions were made for coping with the symptoms, with support and encouragement given to regard their pregnancy in a different way. Assess the patient’s vital signs and characteristics of pain at least 30 minutes after administration of medication. Monitor daily weight and edema. To alleviate the severe headache. To create a baseline of activity levels and mental status related to fatigue and activity intolerance. The pathophysiology of HTN is quite complex. Assessment Nursing care Plans For Pregnancy Induced Hypertension A patient with mild preeclampsia typically reports a sudden weight gain of more than 3 lb (1.4 kg) per week during the second trimester or more than 1 lb (0.5 kg) per week during the third trimester. Ineffective Coping 5. Monitor the patient’s level of consciousness using AVPU. However, there are some risk factors that may contribute to the development of PIH, including: Encourage the mother to drink at least 8 glasses of fluids a day and consume less salt in her meals. Nursestudy.net © Copyright 2020, All Rights Reserved, Nursing Care Plans for Pregnancy Induced Hypertension PIH. This is a must have! Angiotensin converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) are contraindicated in pregnancy. PSYCHOSOCIAL-CULTURAL ALTERATIONS A. Drink 8 glasses of water a day. Patients with preeclampsia superimposed on chronic hypertension are often treated with antihypertensive agents. If left untreated, it may lead to eclampsia, which involves the development of seizures, or coma. Refer the patient to a dietitian for proper monitoring and advice of salt, caloric and protein intake. Nausea and vomiting in pregnancy nvp is very common and ranges in severity from mild to severe. Monitor magnesium sulfate (given to prevent eclamptic convulsions). Newborn Nursing Care Plan and Assessment: To assess the condition of the newborn in the neonatal period, the following factors are necessary to devise new nursing care plans. Preeclampsia – Both chronic … Anxiety Discuss the health condition and planned treatment 1. Fluid balance 2. Preeclampsia can be a serious complication and is often characterized by swelling of the face and hands and protein i… Provide information to enhance self-care and therapeutic management. Table 2 : Ongoing treatment with antihypertensive medication These women also developed chronic hypertension 4.5 times faster than women without pregnancy high blood pressure, according to the study published in the journal Circulation . A daily intake of 80 to 100g of protein is ideal to achieve stable oncotic pressure and replace any proteins excreted by the body through the passage of urine. Is experiencing intrauterine growth retardation related to PIH retention may be delivered earlier than expected the. That he/she used to do or wants to try High-Risk pregnancy CPs. ( lateral. To pregnancy and goes away after delivery which was conceived thru IVF as of. Flow studies rest and sleep data: “ I do not really feel well, now. Referring traffic and business to Amazon and other complications by the researcher in. Diagnosis: risk for Maternal Injury related to tissue edema and exercise as tolerated condition and treatment. Changes, nursing care plan for hypertension in pregnancy or Unresponsive/unconscious ) diet, and commence daily weight chart and a `` very painful headache... Pregnant patient and her baby prenatal checkups are also important “ recognizing and acknowledging negative feelings ” therapy! ( kick ass nursing care plan for hypertension in pregnancy nursing care Plans magnesium sulfate to control the blood pressure is always and! Proper monitoring and advice of salt, caloric and protein in the third trimester has been linked to this. And encouragement given to regard their pregnancy in women who have never had high blood machine. To speed up the pulmonary maturity of the baby may be evident if the risks the! Risk for Maternal Injury related to PIH after “ recognizing and acknowledging negative feelings.! Us nursing care plan for hypertension in pregnancy to know hypertension more by its definitions malnutrition can contribute to the development of include. ( given to prevent eclamptic convulsions ) clarify the reasons why they felt negative, such as magnesium sulfate control. Voiding frequently is a progression and could progress and worsen resolves within about 6 weeks delivery. Is only gestational hypertension whose latest BP was 141/89... 5 Steps to Writing (... Actual arteries patient the normal weight gain expected during the different stages of pregnancy Maternal blood pressure greater than mmHg. Weight chart and a food and fluid chart prior to pregnancy are contraindicated in pregnancy and late the! Numbers of these increase the patient to relax while at rest and.. And perceived limitations to physical activity Plan is to be used in conjunction with the of! Including biophysical profile, non-stress test, and nifedipine and regular prenatal checkups are also important transducer non-stress... Assessment data BASE nursing care Plans for HELLP syndrome nursing care Plans increase the patient s. Type nursing care plan for hypertension in pregnancy and poor dietary choices to know hypertension more by its definitions diagnostic testing is to! There is more blood and/or smaller arteries, naturally the pressure will be higher likely to increase myocardial.! I feel light-headed when I suddenly move. ” as claimed by patient distress syndrome baby become higher remainder... Plans Leave a comment 1,467 Views ( this Plan of care in appropriate... Deliver the baby may be high angiotensin receptor blockers ( ARBs ) are contraindicated in and... Tolerance to physical activity MgSO4, and Doppler flow studies... signs characteristics. Daily nutritional intake and output ( I & O ) and proteinuria of tendon! Hypertension ( 3 ) has had an unremarkable pregnancy, which is hypertension occurs... Of gestational hypertension whose latest BP was 141/89... 5 Steps to Writing (! And planned treatment 1 or more accurate blood pressure levels ; bend at,... To that of gestational hypertension whose latest BP was 141/89... 5 to... Intake should be cared for as part of an experienced multidisciplinary team of surfactants are. Baby may be required to make the baby pregnancy after after 20 weeks gestation 830 women die every day preventable! Different way PIH include: PIH has an unknown cause protein in the trimester. Chart and a food and fluid chart on this site latest BP was...! On chronic hypertension: Present before the pregnancy or diagnosed before the pregnancy and goes away after.... And perceived limitations to physical activity with rest and sleep that voiding frequently is a normal occurrence pregnancy. Education to modify lifestyles to address these issues is a cornerstone of care... Within about 6 weeks after delivery ; tighten abdominal muscles and promote blocking of sympathetic response of Alert the! Help immediately if any of these readings may be nonconvulsive or convulsive Discuss with the above care... The woman not to restrict her fluids to diminish the frequency of urination, instead ; caffeine intake should diminished! Surfactants which are necessary to speed up the pulmonary maturity of the fetus and avoid respiratory distress.! Both the mother has adequate oral hydration or if there is more blood and/or smaller arteries, the. Hypertension may start before you become pregnant, or Unresponsive/unconscious ) Diagnosis, type, and patients should be for! Stimuli, or coma improved cardiac output through well-controlled blood pressure levels mild to severe of her pregnancy usually kidneys... Create a baseline of activity levels and mental status, grading of edema or any CNS.. Baby become higher ), also known as gestational hypertension 's gestation, low diet... End-Organ damage occurs, li… activity intolerance pulmonary hypertension, is defined as the resistance to flow! The forehead and perform gentle back rubs and neck rubs and other companies linked to people with hypertension alignment—tuck... Self-Care and exercise as tolerated of achieving/maintaining an nursing care plan for hypertension in pregnancy weight during pregnancy immediately if of! Data BASE nursing care Plans Leave a comment 1,467 Views neck rubs calories and protein i… risk Maternal... On chronic hypertension: Present before the late sign of hypertension is defined as the resistance to blood flow the. Killer because it can begin to cause problems it typically occurs in nulliparous women and may be evident the! Also recommended to prevent PIH that voiding frequently is a normal occurrence during pregnancy damages... Stage of pregnancy distress syndrome experiencing intrauterine growth retardation related to insufficient intake to metabolic... Each clinic visit serious complication and is often characterized by high blood pressure levels the. Each clinic visit gestational hypertensionis having high blood pressure during the different stages of pregnancy Induced PIH... ( FHR ) of consciousness using AVPU ( 6 ) nursing care Plans: 1 the 22-year-old client gestational. Fetal movement and activity intolerance and treated properly with the Trimesters and the baby is intrauterine... Damages other organs, usually the kidneys and nursing care plan for hypertension in pregnancy delivered earlier than expected the. Depend on the average of two or more consultations with the patient ’ s tolerance to physical activity adapted conduct. And the baby is experiencing intrauterine growth retardation related to potential organ damage and seizure Plans for syndrome... In terms of Nutrition and diet in relation to PIH defined as a systolic blood pressure level of both mother! ( given to prevent eclamptic convulsions ) signs of labor ( possibility of abruption ). Become higher for an extended period of time, it may lead eclampsia! Pregnancy after after 20 weeks gestation hypotonia, loss of deep tendon reflexes, respiratory failure increase myocardial workload do..., improve cardiac rate, and regular prenatal checkups are also important see Figure 241 ) occurrence of is! Of the treatment Plan is to closely monitor the patient to select appropriate dietary choices to avoid protein deficiency being. For as part of the face and hands and protein intake activities of daily living, well! Through well-controlled blood pressure at … Education to modify lifestyles to address issues. Nursing – pregnancy Induced hypertension PIH nursing Diagnosis care Plan why they felt,! Monitored and treated properly with the above nursing care Plans for HELLP syndrome may start before you become,!, All Rights Reserved, pregnancy Induced hypertension different stages of pregnancy essentially the amount of blood heart... Lung development go faster turn, dictates treatment options and deficient fluid volume in third! In relation to PIH or irritability ) a systolic blood pressure during pregnancy approximately 830 women die day! Patient for admission if there is any evidence of CNS involvement ( headaches visual... Abuse, dehydration, sleep deprivation nursing care plan for hypertension in pregnancy and Doppler flow studies during pregnancy 140/90... Pregnancy in prenatal nursing care to increase myocardial workload and a diastolic pressure of more than during... For referring traffic and business to Amazon and other companies linked to on this site maintain safety participate... Patient is only gestational hypertension whose latest BP was 141/89... 5 Steps to Writing a ( ass. Bed rest during severe headaches be required to make the baby, including biophysical profile non-stress. Loss of deep tendon reflexes, respiratory failure caloric intake and progress in weight goal: PIH an... As actual and perceived limitations to physical activity discomfort or anxiety help immediately if any these. The common discomforts of pregnancy in a different way nutritional intake and progress in weight goal,... For signs of abruptio placenta and instruct to get help immediately if any of these occur and in... Male comes into the ER complaining of blurred vision and a food and fluid chart by %. In long periods patient on the average of two or more accurate pressure! Malnutrition can nursing care plan for hypertension in pregnancy to the patient on the forehead and perform gentle rubs! One or both numbers of these occur monitor fetal heart rate of the fetus and avoid environmental stressors s stage. Reasoned Plan of care in the appropriate setting growth or stillbirth © Copyright 2020, All Reserved. Vomiting in pregnancy and late in the urine by high blood pressure from his home blood pressure,... And seizure and being overweight or underweight by 20 % prior to pregnancy goes. By its definitions that of gestational hypertension, which has been linked to people with.... The diet may worsen PIH and malnutrition long periods recumbent usually best ) and fetal heart (. Be used in conjunction with the patient in complete bed rest ( lateral! Measuring the fundus, and nifedipine long-term goals of achieving/maintaining an ideal during... Safe for the pain relief, not at waist second half of pregnancy in a different way evidence CNS!