Question
In: Nursing
Mrs Abu, a primidgravida was admitted with severe pre-eclampsia of 29 weeks' gestation and complained of...
Mrs Abu, a primidgravida was admitted with severe pre-eclampsia of 29 weeks' gestation and complained of a headache .A junior house officer prescribed co-proxamol over the telephone, failing to appreciate the significance of a rise in Blood pressure. The Blood pressure was checked later to be 150/100mm Hg
a) What are the shortfalls with the way the Junior house officer managed Mrs. Abu?
Solutions
Expert Solution
Pre eclampsia is a potentially dangerous pregnancy complication
characterised by high blood pressure.Preeclampsia is a
pregnancy-specific, multisystem disorder that is characterized by
the development of hypertension and proteinuria after 20 weeks of
gestation.
Complications of hypertension are the third leading cause of
pregnancy-related deaths, superseded only by hemorrhage and
associated with increased risks of placental abruption, acute renal
failure, cerebrovascular and cardiovascular complications,
disseminated intravascular coagulation, and maternal death.
Consequently, early diagnosis of preeclampsia and close observation
are imperative.
Management of pre eclampsia
Delivery (vaginal) is the ultimate management.
Antihpertensive drugs.Hydralazine and labetalol.
Seizure prevention.Magnesium sulfate.
Here the doctor provided an NSAID for the patient without assessing
the patients condition completely to exclude the risk of
preeclampsia and its ill effects.
Nightingale answered 2 years agoRelated Solutions
CASE STUDY –HYPERTENSION Mrs. Abu, a Primigravida was admitted with severe pre-eclampsia of 29 weeks’ gestation...
CASE STUDY –HYPERTENSION
Mrs. Abu, a Primigravida was admitted with severe
pre-eclampsia of 29 weeks’ gestation and complained of a headache.
A Junior house officer prescribed co-proxamol over the telephone,
failing to appreciate the significance of a rise in Blood pressure.
The Blood pressure was checked later to be 150/100mm Hg
A. What is the common forms of hypertension during pregnancy ?
B. What are the shortfalls with the way the Junior house
officer managed Mrs. Abu?
C. Outline in...
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Marvis is a 29-year-old G1P0 in labor at 40 weeks of gestation.
She was admitted at 0200 with a history of contractions since 2200
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were every 6 minutes and lasting 30 seconds. Her cervical
examination was 2 cm/70%/−2 vertex. It is now 0600 and she has been
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Marvis is a 29-year-old G1P0 in labor at 40 weeks of gestation. She was admitted at...
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She was admitted at 0200 with a history of contractions since 2200
the night before. On admission, she denied spontaneous rupture of
membranes or vaginal bleeding. She felt good fetal movement. Her
vital signs and the fetal heart rate were normal. Her contractions
were every 6 minutes and lasting 30 seconds. Her cervical
examination was 2 cm/70%/−2 vertex. It is now 0600 and she has been
reexamined. Her...
Patient is a 29-year-old female at her 38 weeks gestation admitted with contractions. Reports contraction every...
Patient is a 29-year-old female at her 38 weeks gestation
admitted with contractions. Reports contraction every 5 minutes
starting at 5 am and increasing to every 2-3 minutes. Very painful.
Patient denies LOF (elective abortion), DFM (Maternal perception of
decreased fetal movement). She is a G4P0A2 L1.)
What are the examples of cultural influences(Patient was a black
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Patient is a 29-year-old female at her 38 weeks gestation admitted with contractions. Reports contraction every...
Patient is a 29-year-old female at her 38 weeks gestation
admitted with contractions. Reports contraction every 5 minutes
starting at 5 am and increasing to every 2-3 minutes. Very painful.
Patient denies LOF (elective abortion), DFM (Maternal perception of
decreased fetal movement). She is a G4P0A2 L1.)
Nursing diagnosis:
Risk for fatigue related to contractions and its pain as
evidenced by continuous pain and decreased ability to tolerate
pain.
Based on this nursing diagnosis, what would be the
1) nursing...
Patient is a 29-year-old female at her 38 weeks gestation admitted with contractions. Reports contraction every...
Patient is a 29-year-old female at her 38 weeks gestation
admitted with contractions. Reports contraction every 5 minutes
starting at 5 am and increasing to every 2-3 minutes. Very painful.
Patient denies LOF (elective abortion), DFM (Maternal perception of
decreased fetal movement). She is a G4P0A2 L1.)
Nursing diagnosis:
Risk for poor coping or anxiety related to the contractions as
evidenced by previous abortions
Based on this nursing diagnosis, what would be the
1) nursing intervention?
2)goal/expected outcome?
A client is admitted with pre-eclampsia. A magnesium sulfate infusion is ordered 40 grams in 1000...
A client is admitted with pre-eclampsia. A magnesium
sulfate infusion is ordered 40 grams in 1000 mL of D5W. The bolus
is 4 grams over 30 minutes, followed by a maintenance rate of 0.5
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pharmacy delivers 30 units in 500 mL. How many mL/hr should the
nurse administer to the client? Round answer to the nearest whole
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Marvis is a 29-year-old G1 P0 in labor at 40 weeks of gestation. She was admitted at 0200 with a history of contractions since 2200 the night before.
CASE STUDY 3Marvis is a 29-year-old G1 P0 in labor at 40 weeks of gestation.
She was admitted at 0200 with a history of contractions since 2200
the night before. On admission she denied spontaneous rupture of
membranes or vaginal bleeding. She felt good fetal movement. Her
vital signs and the fetal heart rate were normal. Her contractions
were every 6 minutes and lasting 30 seconds. Her cervical
examination was 2 cm/70%/−2 vertex. It is now 0600 and she has...
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Laurie is a 32-year-old primigravida at 40 weeks of gestation who is admitted to the Labor...
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What are the risks to the maternal fetal unit as a
result?
2. what are...
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