Book
Procedural Work For Eclampsia Cases
- 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
