Senin, 12 Maret 2012

WEB OF CAUTION (WOC) PREEKLAMPSIA


WEB OF CAUTION (WOC) PREEKLAMPSIA
Etiologi (idiopatik / keturunan)
Û    Gemeli
Û    primigravida
Û    hidramnion                                                              bertambah sering dengan tuanya kehamilan
Û    molahidatidosa

Preeklampsia

                                                          spasme pembuluh darah                                       retensi air dan garam
         kehamilan dengan                          TD meningkat                                              BB, Edema,proteinuria
             hipertensi  
 


kurang pengetahuan      kadar gula darah meningkat                                perubahan pada glomerulus
                                                                sementara
                                                                                                                              tahanan perifer berlebihan

rangsang nervus                       asam laktat meningkat                                       Kelebihan vol. cairan
       vagus
                                                                                                                               aliran darah ke jaringan <<
mual dan muntah                                 kejang
                                                                                                                                         hipoksia
 

Nutrisi <<                                        Resti cedera                                                Gangguan perfusi jaringan
                                                                                                                                              perifer
                                                                               perubahan pada organ

 


vaskular otak                           placenta                    paru-paru                          mata                                ginjal
     meningkat
                                     kurang oksigen                   edema paru            edema retina        filtrasi glomerulus
Gangguan rasa
nyaman nyeri        partus prematurs          Pola napas inefektif        Gangguan penglihatan      oliguria
                                                                                                                                                                      anurin
                                        Gangguan nutrisi pada fetus                  resiko injuri                                   
                                                                                                                                                 Resti defisit volume
                                                                                                                                                              Cairan

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