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    NCP

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    Sven Ordanza
    - The patient is a 39 week pregnant woman with a blood pressure of 140/80 mmHg, respiratory rate of 18 breaths per minute, and pulse of 87 beats per minute. - She is experiencing vasospasm of the veins and arteries leading to ineffective tissue perfusion, as manifested by mild hypertension. - Within 3 days of nursing intervention including bed rest, emotional support, magnesium sulfate administration, and a low-salt diet, the patient's blood pressure was alleviated to 120/80 mmHg, respiratory rate increased to 20, and pulse decreased to 74, with no edema or proteinuria present.

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    NCP

    Uploaded by

    Sven Ordanza
    802 views1 page
    - The patient is a 39 week pregnant woman with a blood pressure of 140/80 mmHg, respiratory rate of 18 breaths per minute, and pulse of 87 beats per minute. - She is experiencing vasospasm of the veins and arteries leading to ineffective tissue perfusion, as manifested by mild hypertension. - Within 3 days of nursing intervention including bed rest, emotional support, magnesium sulfate administration, and a low-salt diet, the patient's blood pressure was alleviated to 120/80 mmHg, respiratory rate increased to 20, and pulse decreased to 74, with no edema or proteinuria present.

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    - The patient is a 39 week pregnant woman with a blood pressure of 140/80 mmHg, respiratory rate of 18 breaths per minute, and pulse of 87 beats per minute. - She is experiencing vasospasm of the veins and arteries leading to ineffective tissue perfusion, as manifested by mild hypertension. - Within 3 days of nursing intervention including bed rest, emotional support, magnesium sulfate administration, and a low-salt diet, the patient's blood pressure was alleviated to 120/80 mmHg, respiratory rate increased to 20, and pulse decreased to 74, with no edema or proteinuria present.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    802 views1 page

    NCP

    Uploaded by

    Sven Ordanza
    - The patient is a 39 week pregnant woman with a blood pressure of 140/80 mmHg, respiratory rate of 18 breaths per minute, and pulse of 87 beats per minute. - She is experiencing vasospasm of the veins and arteries leading to ineffective tissue perfusion, as manifested by mild hypertension. - Within 3 days of nursing intervention including bed rest, emotional support, magnesium sulfate administration, and a low-salt diet, the patient's blood pressure was alleviated to 120/80 mmHg, respiratory rate increased to 20, and pulse decreased to 74, with no edema or proteinuria present.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Subjective: Vasospasm of the veins and Ineffective Tissue Perfusion Within 3 days of nursing Independent: After 3 days of nursing
    -³Mataas po ang presyon ko arteries related to vasoconstriction intervention, the maternal blood Position the client into dorsal Helps in aiding for the intervention, the maternal
    kapag nagbubuntis ako´ as of blood vessels as pressure will be alleviated from recumbent or side lying position evacuation of sodium and to blood pressure was
    verbalized by the mother manifested by a blood mild hypertension to normal for bed rest Ĺ diuresis alleviated from mild
    pressure of 140/80 mmHg hypertension to normal as
    Objective: vasoconstriction Provide Emotional Support to Client are vague in their evidenced by:
    >G4P3 Pu 39 wks the client condition and must be >BP- 120/80 mmHg
    >BP- 140/80 mmHg supported by the nurse to help >R- 20 cpm
    >R- 18 the client understand the >P- 74 bpm
    >P- 87 Poor organ perfusion esp. in the seriousness of the symptoms >(-) edema of hands and
    >(-) edema of hands and face renal tubules face
    >(+) proteinuria Monitor VS q30 To check for the possibility of >(-) proteinuria
    progress from mild
    preeclampsia to severe
    Initiation of RAAS preeclampsia

    Assess for Upper extremities To know if the client has


    and face for presence of edema moved from mild to severe
    Water Retention preeclampsia

    Provide a calm environment to To alleviate stress and to


    the patient prevent severe pre-eclampsia
    Increased Blood Pressure
    Dependent:
    Administer Magnesium Sulfate To prevent seizures
    as ordered by the physician

    Collaborative:
    Refer to a nutritionist to ensure A balanced diet has low salt
    that the client has a balanced that helps alleviate the
    diet meal planlike bland or low problem of Ĺ BP resulting from
    salt diet activation of RAAS system

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