HUMAN ANATOMY+PHYSIOLOGY-ACCESS(IAC)
11th Edition
ISBN: 9780134788784
Author: Marieb
Publisher: PEARSON
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Chapter 28, Problem 2CCS
38-Year-Old Female with Preeclampsia
Ms. Johansen, 38, is 26 weeks pregnant with her first child. She was diagnosed with preeclampsia (see p. 1114) three weeks ago. Antihypertensive drugs (p. 724) and daily home care monitoring were initiated. However, her blood pressure is continuing to rise and is now 162/108 mm Hg. She complains of a constant headache, exhibits edema, and her urinalysis is positive for protein.
Her doctor has her admitted and orders further blood tests to assess Ms. Johansen's platelet level and liver function. "We may have to deliver because that’s the only cure for preeclampsia." she says to you during your clinical rotation in obstetrics. “But if we do, then the baby will have problems. It’s a tough decision because we have to balance both the mother's and the baby’s health.”
2. One of your fellow nurses says that preeclampsia is characterized by vasoconstriction. Does this make sense? Why or why not?
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Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago.
The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side.
Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL)
Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%)
What is clinically happening to the patient?
N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease.
Data Collected (use only those that apply)
Complains of excruciating pain and tenderness in left hip
Pain not relieved with morphine
BP 166/94 mmHg
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Respiratory rate 36; crackles, expiratory wheeze
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Discussion Questions:
Considering the nursing process, list in order the steps in transferring patient from bed to chair post operatively.
Chapter 28 Solutions
HUMAN ANATOMY+PHYSIOLOGY-ACCESS(IAC)
Ch. 28 - Prob. 1RQCh. 28 - 2. Most systems are operational in the fetus by...Ch. 28 - Prob. 3RQCh. 28 - Match each adult structure in column B with the...Ch. 28 - Prob. 5RQCh. 28 - Prob. 6RQCh. 28 - Prob. 7RQCh. 28 - 11. The germ layer from which the epidermis and...Ch. 28 - Prob. 9RQCh. 28 - Prob. 10RQ
Ch. 28 - Prob. 14RQCh. 28 - Prob. 22RQCh. 28 - Prob. 15RQCh. 28 - Prob. 16RQCh. 28 - 19. The placenta is a marvelous, but temporary,...Ch. 28 - Prob. 17RQCh. 28 - 21. What is the function of gastrulation?
Ch. 28 - Prob. 11RQCh. 28 - Prob. 12RQCh. 28 - Prob. 19RQCh. 28 - Prob. 20RQCh. 28 - Prob. 13RQCh. 28 - Prob. 24RQCh. 28 - Prob. 25RQCh. 28 - Prob. 21RQCh. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...Ch. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...Ch. 28 - Prob. 3CCSCh. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...Ch. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...
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