In: Nursing
At 22/6/2020, Fatma is 31 years old, case of SCD with
VOC during pregnandes (scd on Aspirin /peniclin prophylaxis /follc
add), currently pregenant at 33 weeks, cames with rt knee joint
pain since last night, bothg legs lookes normal, no swelling , no
redness, took paracetmol with no improvement, no traum, no bites or
Injuries.No SOB, no breathing difficulty, gdm on metformin 500 mgs
bid, good fetal movement.
She admission at 7.6.2020 with severe aneamia ,hb was 5.6g/dl pt
redeved 2pints of blood discharge on hb 9.
Pregnancy History...
Gravida 3
Surgical History...
Operated on 23/08/16 for g3 p2 preg 36 5 week with previous 2 cs
(Lower segment caesarean section). Operated on 13/10/12 for 37
wks k/c/o scd with (Lower segment caesarean section).
Operated on 16/03/10 for primi 37ws scd Iscs for npol LS.CS
(Primary}.
Plan:
Invistigation, rehyderation,analgesia, admission at gyne ward
thromboprophylaxis ,antibiotic, vitals monitoring, Intermittent
ctg,
physian reffereal (1031) Informed, bsp inform, If needed
Part- 1
1. Analyze and specify the physical and psychological needs for
this client? 2. Address the subjective and objective data included
in the scenario? 3. Discuss the therapeutic management modalities
provided to this client? 4. List the prognosis of this lady and
possible complications and how to prevent it? 5. Write one priority
nursing care plan and specify the appropriate nursing care should
be provided for this client? 6. Specify health education
instruction to be conveyed to this lady prior discharge?
Part-2
Discuss the following pharmacological management and justify if it
is safe administration for a client suffers from GDM & SCD
antenatally and postnatally (information should include the
following information, classification, mode of action, indication,
pregnancy category, nursing responsibility and a justification for
its usage or not to the giving client)
1. Tramadol 2. Metformin 3. Heparin 4. Acetyl
salicylic acid 5. Phenoxymethyl penicillin