What frequent nursing assessments need to be conducted for the patient with preeclampsia?

Regular assessment of blood pressure

Capillary refill

Deep tendon reflexes

Urine output

Assessment of edema

Eye examination to check for Visual disturbance

(blurring or flashing lights in front of the eyes)

Monitor for Severe headache (usually frontal)

Upper abdominal pain (Liver tenderness)

Nausea or vomiting

Frequent weight measurements

Fetus: Fetal heart rate testing with non-stress or

stress testing or by biophysical profile and an assessment of fetal

movement.

Labs:

align="left">A complete blood count, platelet count (Decreases are

caused by endothelial damage and activation of thrombin), and

electrolyte panel including liver enzymes (Increases indicate liver

involvement) should be checked. A 24-hour Urine collection for

creatinine clearance and total protein (Increase in protein and

creatinine in the urine indicates renal disease) should be obtained

on admission to hospital and repeated as indicated. Also, Clotting

studies if there is severe pre-eclampsia or thrombocytopenia.

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