Procedural Work For Eclampsia Cases
| Site: | EHC | Egyptian Health Council |
| Course: | Evidence of nursing procedures for internal sections |
| Book: | Procedural Work For Eclampsia Cases |
| Printed by: | Guest user |
| Date: | Tuesday, 5 May 2026, 11:38 PM |
Description
"last update: 20 April 2025" تحميل الدليل
- اعداد
دليل الأقسام الداخلية
تحت اشراف
- أ.د/ محمد لطيف الرئيس التنفيذي للمجلس الصحي المصري - د/ كوثر محمود نقيب عام التمريض المصري – عضو مجلس الشيوخ
اعداد
|
م |
الاسم |
الوظيفة |
|
1 |
أ. د /امل احمد خليل مرسي |
نائب رئيس الجامعة لشئون التعليم والطلاب – جامعة بورسعيد |
|
2 |
أ.د / عفاف عبد العزيز عبد العزيز بصل |
عميد كلية التمريض –استاذ تمريض باطنه وجراحي جامعة طنطا |
|
3 |
أ.د/ زينب حسين على محمد سعد |
وكيل الكلية لشئون البيئة وخدمة المجتمع – كلية التمريض – جامعه حلوان |
|
4 |
أ.د /امل سعيد طه رفاعي |
أستاذ ورئيس قسم التمريض الباطني الجراحي – جامعة بنها |
|
5 |
أ.د /حنان احمد السباعي على |
استاذ التمريض التمريض الباطني الجراحي- كلية التمريض – جامعة القاهرة |
|
6 |
د /نيفين عبدربه النبي محمد عبد النبي |
رئيس الإدارة المركزية ندباَ –وزاره الصحة |
|
7 |
د /مايسه حسني احمد تمام |
مدير عام للإدارة ندباَ – وزاره الصحة |
|
8 |
د نانسي علاء الدين عبد الباسط على |
المشرف على التعليم الفني- الهيئة العامة للرعاية الصحية |
|
9 |
د شيرين محمد محمد سعدالدين |
المشرف على تطوير الخدمات التمريضية –الهيئة العامة للرعاية الصحية |
|
10 |
د/ مى محمود العسال |
مدير عام الإدارة العامة لشئون المعاهد الفنية الصحية |
|
11 |
أ.م.د/ هبة محمود محمد |
أستاذ مساعد تمريض صحة الام وحديثي الولادة –كلية التمريض - جامعة عين شمس |
|
المشاركين |
||
|
12 |
/أنهلة كامل مصطفي |
مسئول التمريض بالهيئة العامة للرعاية الصحية فرع الإسماعيلية |
|
13 |
/أمها سعد محمد النادي |
عضو إدارة التمريض بالهيئة العامة للرعاية الصحية فرع الإسماعيلية |
|
14 |
/أثروت عبد العال محمد |
عضو إدارة التمريض بالهيئة العامة للرعاية الصحية فرع الإسماعيلية |
|
15 |
أ /منى على عبد الرحمن الكتامى |
أخصائي تمريض بالإدارة العامة للتمريض- وزارة الصحة |
|
16 |
أ / شيرين عبد الحكيم عبد الحكيم خطاب |
أخصائي تمريض بالإدارة العامة للتمريض- وزارة الصحة |
|
17 |
أ/بهاء فؤاد برسوم |
أخصائي تمريض بالإدارة العامة للتمريض- وزارة الصحة |
- Profession Oath
"I swear by Almighty God
To be faithful in my work, to fear God in my profession, to respect its laws
and regulations, and to perform my duties with efficiency and sincerity.
To base my actions on the knowledge gained from the sciences of nursing.
To exert my utmost effort in caring for those entrusted to me, preserving their
dignity, maintaining their confidentiality, defending their rights, and
protecting them from harm.
To not fear any criticism when speaking the truth, to provide a safe
environment for the patient, their family, and the community.
To continue developing myself, to honor and respect those who have taught me.
To cooperate with my colleagues in the profession for the sake of righteousness
and piety.
And I testify before God to what I have said."
- Vision and Mission of Nursing Care
Nursing Vision for the Inpatient Care Unit
The nursing staff in the Inpatient Care Unit strives to elevate the nursing profession and provide effective, safe, and high-quality care to patients in accordance with Egyptian, national, and international standards.
Nursing Mission for the Inpatient Care Unit
The nursing staff in the Inpatient Care Unit is committed to enhancing the health level of patients, providing the best nursing care in alignment with the hospital's goals and nursing management procedures. The unit also works to improve the scientific and practical level of all nursing staff by shifting their focus toward modern trends in nursing and medical sciences.
- Preeclampsia (Eclampsia)
- It is high blood pressure after the 20th week of pregnancy in a woman who did not have high blood pressure before, accompanied by seizures.
- Signs and Symptoms
- Blood pressure above 160/110
- Protein in the urine (+2)
- Decreased urine output (100ml/6 hours)
- Persistent headache
- Nausea and stomach pain
- Swelling throughout the body (eyes, feet, arms, face)
- Seizures
Stages of Seizures:
- Pre-seizure stage (15-20 seconds):
- Tremor in the face and hands
- Eye rolling
- Hand movements to the side
- Jaw clenching to the side
- Seizure stage (30-60 seconds):
- Muscle rigidity
- Rigidity of the limbs and spine
- Seizures of the respiratory muscles, cyanosis of the face, and suffocation
- Post-seizure stage (60-90 seconds):
- Involuntary urination and defecation
- Tongue biting
- Foaming from the mouth
- Elevated body temperature
- Wheezing in breathing
- Loss of consciousness:
- Loss of consciousness for a few minutes
- Nurse's Role in Caring for Eclampsia Patients
- Place the patient in a quiet room with dim lighting
- Monitor fluid balance
- Track vital signs
- Monitor seizures and provide continuous care
- Monitor consciousness levels
- Administer and monitor magnesium sulfate (Initial dose: 4-6g + 250ml Ringer over 20 minutes, Maintenance dose: 1-2g + 250ml Ringer/hour for 24 hours)
- Monitor knee reflex after magnesium sulfate administration
- Monitor for protein in the urine
- Pre-eclampsia
Pre-eclampsia is defined as high blood pressure after 20 weeks of pregnancy, during childbirth, or within the first 48 hours postpartum, with the presence of protein in the urine, edema (swelling), or both.
Effects of High Blood Pressure During Pregnancy:
On the Mother:
- Kidney damage from high blood pressure and increased protein in the urine
- Decreased blood flow to the brain and nervous system
- Liver damage and elevated liver enzymes
- Brain hemorrhage
- Premature placental abruption and pre-birth bleeding
- Preterm labor
- Progression to eclampsia
On the Fetus:
- Reduced blood flow to the fetus
- Fetal growth restriction compared to gestational age
- Decreased oxygen levels in the fetus's blood
- Premature birth
- Fetal death in utero
Diagnosis of High Blood Pressure in Pregnancy: High blood pressure is diagnosed if the blood pressure is 140/90 or more in a woman who did not have hypertension before pregnancy, or when there is a 30mm increase in systolic pressure or 15mm increase in diastolic pressure compared to the pre-pregnancy baseline.
- Symptoms and Signs of Pre-eclampsia
Mild Pre-eclampsia:
- Diastolic blood pressure less than 110
- Protein in the urine (+1)
- Weight gain over 1.5kg per week
- No fetal growth restriction
- No blurring of vision, stomach pain, or headache
- Nurse's Role in Caring for Mild Pre-eclampsia Cases
- Regular follow-up in the high-risk pregnancy clinic:
- Weekly assessment (weight, blood pressure, urine protein analysis, edema, uterine height, fetal movement, and fetal heart rate)
- Provide health education to the mother (adequate rest, balanced diet rich in vitamins, limit fats and carbohydrates, increase protein intake, avoid excess salt, and pickled foods)
- Remind the mother about warning signs for when to contact the doctor:
- Headache, blurred vision
- Stomach pain, nausea
- Sudden rupture of membranes or vaginal bleeding
- Absence of fetal movement
- Increased swelling in face and limbs, weight gain beyond the normal range
Severe Pre-eclampsia Symptoms and Signs:
- Blood pressure higher than 160/110
- Protein in the urine (+2 or more)
- Decreased urine output (100ml/6 hours)
- Persistent headache
- Blurred vision
- Nausea, stomach pain, and occasional vomiting
- Swelling throughout the body (eyes, feet, arms, face)
- Fetal growth restriction
- Increased knee reflex response
- Prolonged clotting time
- Seizures at any time (considered eclampsia in this case)
Nurse's Role When the Patient is in the Hospital:
- Insert an intravenous line (cannula)
- Place the patient in a quiet room with dim lighting
- Monitor vital signs
- Record weight and edema levels
- Monitor urine output and track fluid balance
- Monitor fetal status, including fetal heart rate
- Observe for complications, such as bleeding
- References
- WHO Recommendations for Augmentation of Eclampsia: https://www.ncbi.nlm.nih.gov/books/NBK258884/
- Healthline: Preeclampsia and Eclampsia: https://www.healthline.com/health/pregnancy/labor-and-delivery
- National Institutes of Health (NIH): Eclampsia