NCLEX Updates, Tips, Reviews and News

Gestational Hypertensive Disorders

Pregnancy Induced hypertension or PIH Mom is not hypertensive before pregnancy Hypertension and other symptoms that occur due to pregnancy Disappear with birth of fetus and placenta High risk factors Chronic renal disease Chronic hypertension Family history Primagravidas (a woman who is pregnant for the 1st time) Twins Mom <19 and >40 Diabetes Rh incompatibility Obesity Hydatidiform mole Pathophysiology Can progress from mild to severe Aterial venospasms decrease diameter of blood flow, which results in: Decreased blood flow Increased BP Classifications Transcient Hypertension Preeclampsia Mild severe Eclampsia HELLP syndrome Transcient Hypertension BP > 140/90 Develops during pregnancy No proteinuria No edema (other than “normal” places like ankles) BP returns to normal by 10th day postpartum Mild Preeclampsia BP > 140/90 x 2 at least 4-6 hours apart Weight gain (due to 3rd spacing) +2 pounds/wk in 2nd trimester, or +1 pound/wk in 3rd trimester, or sudden weight gain of 4 pounds/week anytime Norms – 1st trimester: 1 lb/month 2nd and 3rd trimester: 1 lb/week Dependant edema Eyes, face, fingers (above the waist) Proteinuria Urine output > 30ml/hr Nursing care for Mild Preeclampsia Patient at home Bedrest (with BR privileges); side-lying position Mom and family will be taught to monitor: Daily weight Urine dipstick BP Fetal movements Diet: Regular with no salt restrictions If symptoms progress to severe Preeclampsia à Hospital! Severe Preeclampsia Presence of any of the following in a woman diagnosed with Preeclampsia: BP > 160/110 (x2) 4-6 hours apart Proteinuria > 2+ dipstick x2 4 hrs apart Urine output < 500ml/24 hr Pulmonary edema (Crackles heard in lungs) Cerebral changes Headache (Tylenol will not alleviate) visual changes... read more

Antiplatelet Medication Cheat Sheet

An antiplatelet drug (antiaggregant) is a member of a class of pharmaceuticals that decrease platelet aggregation and inhibit thrombus formation. They are effective in the arterial circulation, where anticoagulants have little effect. They are widely used in primary and secondary prevention of thrombotic cerebrovascular or cardiovascular disease. Antiplatelet drug decreases the ability of blood clot to form by interfering with platelet activation process in primary haemostasis. Antiplatelet drugs can reversibly or irreversibly inhibit the process involved in platelet activation resulting in decreased tendency of platelets to adhere to one another and to damaged blood vessels... read more

Laboratory Values Cheat Sheet by Justin

Laboratory values with brief description on what it does. It is of utmost importance that nurses are knowledgeable about the different procedures and their values and results to make informed clinical... read more

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