Medical-surgical Nursing Demystified

(Sean Pound) #1

(^528) Medical-Surgical Nursing Demystified



  • Abdominal pain

  • Diminished urine output

  • Excessive vomiting and nausea

  • Eclampsia:

  • As above

  • Seizures


INTERPRETING TEST RESULTS



  • Chemistry panel to assess hydration status as well as kidney and liver function.

  • CBC to asses anemia and platelet count.

  • Urinalysis to look for protein and creatinine in the urine.

  • Fetal ultrasound.


TREATMENT


Birth of the baby is the only cure for eclampsia and preeclampsia. Mild preeclamp-
sia with mild hypertension and a small amount of protein in the urine can be man-
aged at home with rest and frequent health care provider checks, depending on the
status and gestational age of the baby. All other preeclampsia and eclampsia patients
are hospitalized.


  • Bedrest.

  • Low-salt diet.

  • Medications:

    • To control blood pressure:

      • hydralazine

      • labetolol

      • methyldopa

      • nifedipine



    • To control seizures:

      • magnesium sulfate






NURSING DIAGNOSES



  • Safety

Free download pdf