Page 174 - Critical Maternity & Newborn Health Nursing

• Reduce renal plasma flow and glomerular filtration rate.

• Albumin loss in urine. -Ischemia.

• Decrease uric acid & creatinine clearance.

3. Fluid & electrolyte imbalance: -

Decrease serum albumin causes a decrease in the plasma colloid

osmotic pressure and increase intra cellular edema, which leads to

failure of normal plasma expansion.

4. Pulmonary edema: - Is due to

• Left ventricular failure, which leads to volume overload.

• Excessive fluid infusion during treatment.

• Post-partum diuresis.

• Decrease colloid osmotic pressure.

• Increased pulmonary capillary permeability.

5. Central nervous system: -

Cerebral edema OR cerebral hemorrhage. These cause severe

headaches.

6. Ophthalmic involvement: -

Arteriolar narrowing causes retinal arteriolar spasms, and this leads

to photophobia, blurring or double vision.

7. Homodynamic changes: -

Hemodynamic values ranging from normal to increase cardiac

output, cardiac afterload or decreased ventricular preload.

8. Coagulation involvement: -Increase intra vascular coagulation.

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