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PREECLAPMSIA PATHWAY

Risk Factor

Preeclampsia No adequate information exposure

Blood vessel spasm Client do not understand about her disease

Lack of knowledge
Blood supply to the placenta

Uteroplacental perfusion

Uterus Maladaptation Placental hypoxia Placental prostaglandin

Ischemia Placental growth O2 and nutrition supply


Interference to the fetus
Trophoblasts uterus rennin Activate angiotensinogen
release release becomes angiotensin I Intrauterine growth
retardation
Endotheliosis Endotheliosis in thrombloplastin By the enzim
Glomerulus release produced
rupture of the blood in the lungs, changed premature birth High risk of Fetal Injury
vessel and hemolysis 1 2 to be angiotensin II
the fetal lungs have fetal nervous system has not
Hb bleeding Stimulate the adrenal not been perfectly formed been perfectly formed
To produce aldosterone thermoregulation disturbance
Anemia Risk of High risk of gas
bleeding 3 exchange damage in In effective thermoregulation
the fetus
1

Endotheliosis in the glomerulus

Capillary permeability towards protein

proteinuria

Albumin level in blood (hypoalbuminemia)

Plasma oncotic pressure

Fluid transfer from intravascular to interstitial

Edema Fluid volume in the blood vessel

Blood viscosity

Excess fluid urine production edema in the lungs periphery blood supply
volume
oliguria O2 and CO2 exchange disorder

Urine breathless Periphery tissues Periphery tissues hypoxia


elimination perfusion
anaerobe metabolism
disturbance
Gas exchange
disturbance Energy production less than the
body needs

fatigue

Activity intolerance
2

Thromboplastin release

Aktivation/aggregation of thrombocyte, fibrin deposit thromboxan

Intravascular Coagulopathy Vasoconstriction of the blood vessel

Systemic blood perfusion Blood pressure vasospasm of the vasoconstriction of blood supply to the intestines
elevation eye discuss and retina brain blood vessel
Periphery pressure for blood supply intestines peristaltic
Hypertension Hypertension diplopia intestines hypomotility

Hypertension Stimulate the medulla oblongata Injury risk brain nutrition and O2 food duration in the intestines
and sympathy nervous food absorption in the intestines
Risk of feses water level
HCl ineffective solid feses
cerebral tissue
perfusion Constipation
Epigastria pain stimulates the nausea center

Acute pain Defecation


nausea Incontinence

Nausea Nutritional imbalance,


less than the body
needs

3
Stimulates the adrenal cortex
produce aldosterone

Retention of Na + water in renal tubules

Blood volume

Hypertension

Hypertension

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