NSG6005 Advanced Pharmacology FL02 Week_1

Week 1 Ms. BD who has been pregnant before and is now pregnant with a history of chronic hypertension has to be evaluated. Hypertension is the most common medical problem encountered in pregnancy and remains an important cause of maternal, and fetal, morbidity and mortality. It complicates up to 15% of pregnancies and accounts for approximately a quarter of all antenatal admissions. The hypertensive disorders of pregnancy cover a spectrum of conditions, of which pre-eclampsia poses the greatest potential risk and remains one of the most common causes of maternal death (Kattah, & Garovic, 2013). As healthcare professionals applying subjective or objective information to assess Ms. BD's condition is very important. However, the healthcare professional should be careful how they apply subjective data to create an outcome. To get a subjective view, the nurse would ask Ms. BD additional information in regards to her previous pregnancy and her experience with hypertension as well as diet. Objective data would include additional blood and urine test to evaluate her hypertension. This would give the nurse a better understanding. Prinzide which are considered ACE inhibitors can bring harm to a growing fetus. Taking Prinzide during pregnancy can increase the risk of serious health and can cause injury or death to the unborn baby. The U.S. Food and Drug Administration (FDA) now categorizes Prinzide as a pregnancy Category D medicine for all trimesters which can cause serious problems in the fetus or newborn. Therefore, the healthcare provider should immediately discontinue Ms. BD from taking Prinzide (Kattah, & Garovic, 2013). There is increased risk to the fetus if it is exposed to Prinzide during the first trimester. Some of the complications seen with fetuses or newborns exposed to Prinzide during pregnancy include hypotension, kidney failure, loss of life, jaundice, developmental problems with the nervous system, developmental problems with the cardiovascular system which includes the heart and/or blood