Question

wner сеrеnсе Complications Nursing Care Medications Clent Education Please complete "Medication Template." May utilize any medication correlating with patient diagnosis/illness Therapeutic Procedures Interprofessional Care
can someone please help me fill out all the boxes for HELLP syndrome thank you will give thumbs up

Answer 1

HELLP syndrome is rare but serious complication of PIH.it may be associated even with mild hypertension and proteinuria

Full form of HELLP syndome :-H-hemolysis,

EL- elevated liver enzymes

LP- low platelets

Sudden onset : may not have previous sign of pre eclampsia

2%-12% incidence in women with severe eclampsia occur after 24 weeks of gestation

Right upper quadrant pain in 90% of affected women. may have proteinuria

Blood smear reveals broken RBC (schistocytes)

Increased uric acid ,liver enzymes and BUN

Therapeutic interventions:-

-frequent rest periods or hospitalization

- feet elevation and side lying position as needed

-Dietary management with increased fluid intake

- symptomatic treatment

- high protein diet

- administration of magnesium sulfate

-anti hypertensive such as hydralazine ,nifedipine,methyldopa and lebatolol

-Betamethasone for pre term birth less than 34 wekks

-Blood administration if required

Nursing consideration - assessment:-  

-assess the sign cerebral involvement as headache ,visual disturbance

-vital sign for hypertension

- urinary status for proteinuria

- extremities for edema,daily body weight

-epigestric pain

-Nursing intervention :-

-Blood pressure monitoring

-Insert indwelling catheter for measure urin output and protein in urin

-Offer high protein diet

-Monitor FHR

-Hematological studies

-Prepare for induced birth or c.s.

Complication of HELLP syndrome:-

-Seizures

-Stroke

-Liver rupture

-Placental abruptio