Case Study Composition


Hypertensive disorders of pregnant state, previously known as Pregnancy Activated Hypertension (PIH), are hypertension disorders of pregnancy. They have long been one of the major problems pertaining to mothers in pregnancy, along with contamination and postpartum hemorrhage. PIH is grouped as gestational hypertension, moderate preeclampsia, severe preeclampsia and eclampsia, according to how far expansion advances. Women is said to be preeclamptic when her blood pressure increases and displays protein in her urine that commonly starts following the 20th weeks of pregnant state. It affects the parias that can cause fetal problems which include low birth fat, premature delivery, and still beginning. The cause of mild preeclampsia is usually unknown, although may be relevant to immune elements. It may result from fetal antigens elements of the fetus that trigger a great immune response in the mother. Geographic, cultural, racial, dietary, immunologic, and familial aspect and pre- existing vascular disease could also contribute to the development. Grow older is also one factor, common in those with age of below seventeen years and primiparas who are over the age of age of thirty five are at high risk for preeclampsia. Symptoms includes: blood pressure of 140/90 or systolic pressure enhanced 30mmHg or diastolic elevated 15mmHg above pregnancy level; proteinuria of 1-2+ over a random sample; weight gain over 2lbs each week in next trimester and 1lb each week in third trimester, mild edema in upper extremities or confront. Patient diagnosed with mild preeclampsia may gone through examinations like urinalysis, stress test, finish blood cell test and platelet count. Medicinal treatment consist of an antihypertensive, such as methyldopa or hydralazine, and Magnesium sulfate in promoting diuresis, and minimize blood pressure. Nursing jobs management for clients with mild preeclampsia includes monitoring of blood pressure, minimizing exterior stimuli simply by promoting understructure rest and relaxation, measuring and documenting urine outcome, weighing the client daily and having great nutrition and providing emotional support. Preeclampsia is the 3rd leading pregnancy- related source of death, after hemorrhage and embolism. About 400, 1000 maternal morbidities, there are 214, 220 who also developed PIH and approximated 790 mother's deaths every 100, 500 live births as of 2005. Preeclampsia is quite common in pregnant women of 35 years of age.

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At the conclusion of the case research, the students can acquire considerable knowledge, skills and appropriate attitudes utilizing nursing procedures to promote the health of patient which has a case of pregnancy caused hypertension. The family of the sufferer will capable to adopt ideal measures, concours, preventions, and further complication of the said state. This analyze will act as a basis for further study of the case not merely for the scholars but also for those of the community.


Specifically the case study aims to:

1 . Determine PIH and its signs and symptoms.

installment payments on your Acquire thorough nursing history.

3. Conduct thorough physical assessment.

four. Discuss the anatomy and physiology included, as well as to figure out its pathophysiology. 5. Review different Clinical and Classification Procedures relevant to the disease with the patient. 6th. Formulate suitable nursing treatment plans and demonstrate health teachings to market the person's wellness.


Police informant: Patient

Trustworthiness: 95%

General Information:

This can be the case of patient T. B, twenty-one years old, woman, single, Philippine, Roman Catholic, and is at this time residing by San Jose del Mucchio, Bulacan, publicly stated for the first time for Ospital ng Lungsod ng San Jose del Mucchio (OLSJDM) last January 4, 2011 at around a couple of o'clock each morning with the chief complain of serious vaginal...