PATHOPHYSIOLOGY SCHEMATIC DIAGRAM

Predisposing Factor Precipitating Factor

Age: 33 years old Lifestyle: Sedentary
History of Pre-eclampsia Multiple Pregnancy (Gravida=5)
Weight: 98 kg (BMI- 42.18-Obese) Diet: Multiple snack in between
meals, eats only specific
vegetables

Abnormal Placentation

Uterine spiral arteries poorly

invaded by trophoblasts

Low oxygen causes placenta to try

Fetal growth
and increase blood flow
restricted

Preterm birth
Reduced placental perfusion

Incomplete pseudo vascularization Oligohydramnios

Increase vascular permeability Causes bleeding in

between placenta
and uterine wall
Platelets perfuse to the interstitial
Thrombocytosis Placental abruption
space

Vasospasm

Small amount of plasma

Vasoconstriction Decreased glomeruli
filtration rate and leakage
increased permeability
of glomeruli membranes
 Increased Blood
Pressure Protein leaks out of the arteries Diffusion of fluid from
bloodstream into
Exceed 140/90mmHg interstitial tissue
Increased blood serum,
urea, nitrogen, uric acid,
INDEPENDENT: Spironolactone
and creatinine
 closely monitored
blood pressure for
abnormalities Pulmonary
 allow patient to rest Decreased urine output
 instructed patient to And proteinuria Edema
avoid strenuous Shortness of
activities that leads to breath
alteration of blood Oliguria
pressure
 advised patient to Peripheral
reduce sodium intake Kidney failure
DEPENDENT:
 administered
Macular swelling
medications such as
anti-hypertensives as in feet,
ordered PRE ECLAMPSIA ankles,
Usual
disturbanc arms
Clonidine es
Future cardiovascular
Amlodipine
disease
Methyldopa
Metoprolol
Cerebral Headache;
Increase heart pumping confusion;
heightened state
of anxiety;
Decrease blood supply Shortness of
tinnitus
to organs breath

Magnesium
Poor Organ Perfusion
HELLP Eclampsia

Liver problems
Headache;
nausea and
Nausea and vomiting
vomiting; burning
behind sternum;
increased creatinine
Legend:

Predisposing Factors

Precipitating Factors

Pathophysiology

Medications

Nursing Care Plan

Symptoms

Conditions

Nursing Care Plan: Interventions