Post Partum HESI Case Study Essays

However, there are additional guidelines in terms of assessing the patient for prolonged catheter use. There should be frequent assessment and evaluation of the patient’s need for continued use. It is important to note that in addition to determining the patient’s need for catheterization, prior to insertion the nurse should also complete the following:

**Placenta previa** is a condition where the placenta blocks the cervix. Sometimes placenta previa has no symptoms at all but can sometimes cause sudden vaginal bleeding, pain in the lower back and abdomen and contractions.

Maternity Care and Delivery is a totally different situation that involves the health and well being of two patients, the mom and the baby. The procedures we code for would include the monitoring

541). Interventions should be rendered continuously, promptly and appropriately as it can cause life-threatening complications (Holt 2009, p. 26). Apparently, the patient is stable, but continuous assessment and management should be done to avoid recurrences of untoward signs andsymptoms and prevent potential complications. Firstly, continuous assessment and vital signs should be done and these include blood pressure, cardiac rate, respiration, venous distention and skin turgor to assess possible occurrence of fluid overload as a result of rapid administration of large fluid that is often needed to treat the patient with DKA (Smeltzer & Bare 2004 p. 1185). Aside from this, documentation of fluid intake and output should be monitored and documented to assess for circulatory overload and renal function (Holt 2009, p. 61). Significantly, it is integral in the provision of continuous care that nurses reassess the factors that may have contribute or led to DKA, and educate the patient and his family about strategies to prevent its recurrences (Smeltzer & Bare 2004 p. 1186; Lemone, Burke & Bauldoff 2011, p. 551).

* Monitor fluid and electrolyte status. Disturbances can have an adverse effect on ICP. Closely monitor IV fluids with the use of an accurate intravenous infusion

1. Prior to discontinuing the IV Pitocin (oxytocin), which assessment is most important for the nurse to obtain?

If you think you might have DVT, you should see your doctor as soon as possible. While it’s not a medical emergency, and is unlikely to harm you or your baby unless there are serious complications, it’s best to get checked early.

Ricci, S. Kyle, T. and Carman, S. (2017). Maternity and pediatric nursing 3rd ed. Philadelphia:

While exercise may not be able to eliminate all of the discomfort associated with pregnancy, it can help with circulation, digestion, and constipation, as well as improve posture and muscle tone, which you will need to support joints that are loosened by various hormones as your body prepares for childbirth. Additionally, exercise can counteract the changes in body image and self-esteem that you possess. Most importantly, an appropriate exercise program can help prepare for the mental and physical demands of labor and delivery.

There are several things that need to be considered regarding medical indicator to help guide me in my decision. First, the patient is a 91-year-old female that is on a ventilator due to the lack of oxygen during

Return to clinic 5-6 months with a fasting renal panel with a (___), (___), CBC, PSA, urinalysis, chest x-ray, (___) lateral, (___), hypertension.

Whilst in-line arterial blood gases(ABG) run constantly, individual samples are taken regularly for calibration (Curle et al., 2007).Thus requiring the aid of either another perfusionist who is not currently running their own bypass or asking a circulating nurse for help if they are not already engaged in another task. The perfusionist is responsible for ensuring that the majority of these parameters are within the correct range, as part of ensuring that the bypass machine is functioning properly in its role of oxygenation and decarbonisation of the blood. One area which the anaesthetist is concerned with in particular during bypass is the blood glucose; as if it rises too high in response to surgical stress it may be necessary to begin an insulin infusion (Cheng and David, 2006).

Najate Achamrah and Agnes Ditisheim believe that defective placenta releases many factors to the maternal circulation such as, pro-inflammatory cytokines, syncytiotrophoblast micro particles, angiogenic and antiangiogenic factors which is in turn cause endothelial cell dysfunction and increase vascular resistance that result in the maternal syndrome. (Najate Achamrah & Agnes Ditisheim, 2018).

This is especially important on those patients admitted with low mortality risk DRGs. This is accomplished by identifying and preventing, potentially avoidable complications and adverse events. For example, patients admitted for syncope and collapse secondary to dehydration will more than likely be placed on IV Fluids. One goal would be to hydrate the patient and reevaluate them throughout their hospitalization for improvement. However, if the patient’s intake and output is not monitored closely, the patient can become volume overloaded and develop symptoms similar to those seen with Right Sided Heart Failure. Once that happens, the patient will require additional medications and additional hospital days because of provider error of not placing an order for the Nurses to monitor his/her volume status.

Postpartum hemorrhage (PPH) is a significantly life-threatening complication that can occur after both vaginal and caesarean births (Ricci & Kyle, 2009). Simpson and Creehan (2008) define PPH as the amount of blood loss after vaginal birth, usually more than 500mL, or after a caesarean birth, normally more than 1000mL. However, the definition is arbitrary, attributed to the fact that loss of blood during birth is intuitive and widely inaccurate (Ricci & Kyle, 2009). In line with this, studies have suggested that health care providers consistently underestimate actual blood loss, thus, an objective definition of PPH would be any amount of bleeding that exposes a mother in hemodynamic jeopardy (Ricci &