(精选)【高血压英文课件精品课件】 Structural Disorders Fetal Demise Intrauterine Fetal Death教学课件.pptVIP

Structural DisordersFetal Demise / Intrauterine Fetal Death;Interventions and Nursing Care Allow patient to decide when she wants to deliver Most women go into labor on their own in 2 weeks, so may wait for labor to begin spontaneously Induce labor Prostaglandin (Prostin E) causes smooth muscles to contract: Side effects - nausea, vomiting, diarrhea Cytogel Provide with Emotional Support, allow to hold baby ; Assessment: 1. First indication is usually NO fetal movement 2. NO fetal heart tones Confirmed by ultrasound 3. Decrease in the signs and symptoms of pregnancy ; PREGNANCY INDUCED HYPERTENSION;PREDISPOSING FACTORS;PATHOLOGICAL CHANGES;Clinical ManifestationsClinical Manifestation;Hypertension;Proteinuria;Significant Lab WorkChanges in Serum Chemistry;Weight Gain and Edema; WEIGHT GAIN AND EDEMA;The difference between dependent edema and generalized edema is important. The patient with PIH has generalized edema because fluid is in all tissues. ;Placenta; Condition is Worsening;Oliguria – 100ml./4 hrs or less than 30 cc. / hour Edema moves upward and becomes generalized (face, periorbital, sacral) Excessive weight gain – greater than 2 pounds per week ;Central Nervous System Changes;Visual Changes;Nausea and Vomiting Epigastric pain –often sign of impending coma;Pre-Eclampsia Mild Severe;Interventions and Nursing Care;Hospitalization;Hospital ManagementNursing Care Goal;Decrease CNS Irritability;Magnesium Sulfate;Magnesium Sulfate;Test Yourself !;Nursing CareHospital Management;Control Blood Pressure;Nursing CareHospital Management;Promote Diuresis;Nursing CareHospital Management;Monitor Fetal Well-Being;Key Point to Remember !;HELLP Syndrome;Etiology of HELLP;HELLP;HELLP; ?Heart Disease in Pregnancy; Cardiac Response in All Pregnancies; Effects of Heart Disease on Pregnancy; Effects of Pregnancy onHeart Disease;