Page 190 - Critical Maternity & Newborn Health Nursing
P. 190

Water therapy:


                   Water can



                       •  Mobilize extra vascular fluid.

                       •  Initiate diuresis.

                       •  Decrease rennin, angiotensin and aldosterone.


                   So,  water helpful in prevention or slowing the progression of pre  -

                   eclampsia.



                   Early & appropriate prenatal care:

                       •  Detection should begin on the first prenatal visit.

                       •  Identification of high-risk group as diabetes.

                       •  In each visit should weight the pt. take  Bl. pressure detection of

                          protein in urine specimen.



                   Low - dose aspirin:


                   60 - 80 mg /day of aspirin because aspirin inhibits thromboxane production

                   and has minimal effect on prostacyclin therefore it restores the prostacyclin

                   / thromboxane balance.



                   2.  Assessment:-

                   A. Maternal well - being.


                   Assess cardiovascular system:



                       •  Measuring blood pressure and pulse every 4 hours. The B/P should

                          taken from the right arm and the pt. lying on the left side.

                       •  Evaluate the degree of edema every 8 hours.

                       •  Daily weight should be obtained before breakfast.



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