Question

Patient # 1 - G1P0 antepartum patient at 24 weeks admitted for r/opre-eclampsia with headache, hypertension, blurry vision, protein in the urine and edema.

Blood Type	A+
Rubella	Immune
Hepatitis B	Negative
HIV	Negative
Serology	NR
Red blood cell count	6 m/UL
Hemoglobin	14 G/dL
Hematocrit	40%
White blood cell count	8,000 K/UL
Platelet count	300 K/UL

• Medical diagnosis/admitting diagnosis. Include common presenting signs and symptoms that a patient having this type of medical condition would present with.

• “How is this medical problem diagnosed?” Diagnostic tests: list all pertinent lab tests, x-rays, and other diagnostic tests used to make this diagnosis

• “What is the treatment for this medical problem?” Treatments: list all pertinent medications (including oxygen) and or procedures/interventions that may be prescribed for your patient

• “What is the nursing focus for this patient?” List at least 5 priorities of care for this patient.

• “What do we teach the patient to help them now and in the future?” List 5 priority teaching topics for this patient

• “Did anything in their history contribute to the development of their admitting diagnosis? If not, what questions would you ask the patient?” Describe the relationship between relevant medical history and admitting diagnosis (if there is any).

• “Possible complications?” List 3 common complications that could occur with this patient and identify what the nurse should assess for to determine if the patient is developing the complication

Answer 1

Ans): Diagnostic tests:

• KFT
• LFT
• platelet count
• Urinalysis
• Fetal ultrasound
• NST(Non Stress Test)
• Biophysical profile
• TREATMENT​​​​​​​​​​​​​​​​​​.
• Anti hypertensive drugs to control Blood pressure eg labetalol to prevent complications like stroke   
• Magnesium sulphate (anti seizure drug)
• Regular urinalysis
• Continuous monitoring of fetus and mother
• Oxygen therapy
• If fetus is viable then induce labour or go for cesarean section to deliver the baby.
• NURSING FOCUS:
• Assess vitals , conduct physical examination.
• ​​​​​​provide adequate nutrition
• Good antenatal care plays a key role in prevention of all complications....
• Encouraging for bed rest
• Administer medication on time (antihypertensive)
• if delivery is to be conducted (induced or c/s) then prepare the women
• TEACHING THE PATIENT TO PREVENT THE DISEASE NOW AND IN FUTURE:
• Encourage the patient to take medication prescribed
• Regular follow up
• Report to health authorities if symptoms worsens
• Follow dietitian
•   Avoid stress
•    In order to know if history is contributing to the disease we should go for past history,medical history,family history
•    COMPLICATIONS
• Fetal growth restrictions
• preterm baby
• Abruptio placenta
• HELLP syndrome