Woc Preeklampsia-1.docx

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WOC Primigravida

Riwayat DM

Gemeli/hamil ganda

Nulipara (> 35 thn)

Pembentukan placenta pertama kali

 Glukosa darah

Massa placenta

 Elastisitas vaskuler

Darah mengental

iskemik placenta

Pembentukan blocking antibodies Kerusakan endotel

 Aliran darah

Mudah mengalami vasospasme

 Aliran darah dalam janin

Respon sistemik untuk kebutuhan O2

Resistensi perifer

Resistensi perifer

vasokontriksi perifer

 Resiko hipertensi dalam kehamilan

Agregasi trombosit Hemotokrit  plasma  Kompensasi perifer

TD, sistol > 140 mmHg, diastole > 90 mmHg

vasokontriksi perifer

Kejang

Pre-Eklampsia

Eklampsia MK :Penurunan curah jantung

Afterload Vasokonstriksi PD  Kerja jantung

Decomp cordis

Sirkulasi kardio pulmo terganggu

 Curah jantung

 Permeabilitas kapiler

 Aliran darah jaringan

Spasme arteriola otak

Akumulasi cairan Oedema paru Sesak napas MK : Ketidakefektifan pola napas

MK : Ketidakseimbang an nutrisi kurang dari kebutuhan MK : Gangguan pertukaran gas

 Laju GFR Reabsorpsi protein

Pusing, nyeri kepala

 Produksi urin,

MK : Gangguan rasa nyaman

MK : Ketidakefektifan perfusi jaringan perifer Anoreksia hati

 Aliran darah ginjal

Hipoksia jaringan otak

Pucat / sianosis Perpindahan cairan dari intravaskuler ke intraseluler

Spasme arteriola glomerulus

Vasokontriksi PD

 Produksi urin

Perfusi jaringan

 Perfusi hati

Oliguria, anuria, proteinuria

MK : Resiko ketidakefektif an perfusi jaringan otak

MK : Gangguan eliminasi urin

Mikro emboli hati Oedema otak Nyeri epigastrium Spasme arteriolar retina MK : Nyeri akut

MK : Gangguan persepsi sensori penglihatan

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