3-2-1 Code It
6th Edition
ISBN: 9781337660549
Author: GREEN
Publisher: Cengage
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CASE SCENARIO -DELIVERY ROOM
Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest.
Patient Susan's vital signs upon admission:
BP-90/60 mm/Hg
Temperature-37 degree Celsius
PR-90 bpm
RR-30 cpm
FHB-130 bpm@ left lower quadrant.
As a student nurse, based on the case scenario above:
1.What will be your impression about the condition of your patient?
CASE SCENARIO -DELIVERY ROOM
Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest.
Patient Susan's vital signs upon admission:
BP-90/60 mm/Hg
Temperature-37 degree Celsius
PR-90 bpm
RR-30 cpm
FHB-130 bpm@ left lower quadrant.
As a student nurse, based on the case scenario above:
1.What will be your impression about the condition of your patient?
2.What are the clinical…
CASE SCENARIO -DELIVERY ROOM
Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest.
Patient Susan's vital signs upon admission:
BP-90/60 mm/Hg
Temperature-37 degree Celsius
PR-90 bpm
RR-30 cpm
FHB-130 bpm@ left lower quadrant.
As a student nurse, based on the case scenario above:
1. Formulate 1 possible nursing diagnosis in the case scenario given( 1Actual/1Risk)
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- CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What are the clinical manifestations present in your patient?arrow_forwardEnumerate 3 nursing interventions and give the rationale for each, once the placenta has been delivered: Enumerate 5 nursing responsibilities of student nurses in the Delivery Room and explain each of them:arrow_forwardInstructions: For each procedure, select the correct ICD-10-PCS code. 1.routine fetal ultrasound, first trimester, single fetus 2.CT scan of the lumbar spine, no contrast 3.MRI of the pelvis, no contrast 4. portable x-ray study of the right radius/ulna shaft, standard series 5. upper GI scan with Tc-99m 6. nonimaging assay of blood using I-125 7. beam radiation of the brain stem, photons 1-10 MeV 8. stereotactic gamma beam radiosurgery of the larynx 9. ultrasound of testicles 10. x-ray of the lumbosacral joint 11. fluoroscopy of the upper GI tract and small bowel with contrast 12. bilateral CT scan of the lungs with densitometry and high osmolar contrast 13. uniplanar scan of the spine using technetium 99m 14. tomo scan of parathyroid gland using T1-201 15. hyperthermia radiation treatment of the pelvic region 16. carbon 11 PET scan of the brain with qualification 17. nonimaging probe of lower extremities 18. PET scan of the brain using technetium 99m 19. whole body…arrow_forward
- CASE: During your internship duty you received a call from Pediatric ward relaying an extraction of a 1-year-old baby boy for work up. As a Med Lab Science Intern, you were asked by your MT Supervisor to accompany her to the Pediatric ward to facilitate the procedure. Upon arrival to Pediatric ward, you saw the Pediatric Resident on duty and asked about the case. You are presented a case of a 1-year-old baby boy who was brought by her mother due to scrotal deformity. The mother noticed that her baby boy’s scrotum was unequal in size since birth noting that she was not able to palpate the other testes. There was no consult done believing that it could probably be normal since the child was new born prematurely. Months have passed the mother was getting anxious still with no consult until after the child celebrated his 1st year birthday. The mother now sought consult to an Out Patient Department and was seen by a Pediatrician and was advised Elective admission for work up. Diagnosis:…arrow_forwardInstructions: Using an ICD-10-CM code book, assign the proper diagnosis code(s) to the following diagnostic statements. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. "delivery with retained placenta with manual removal of retained placenta, 42 weeks" 3 codesarrow_forwardDiscuss the nursing interventions for a patient with endometriosis.arrow_forward
- FATIGUE CASE STUDY is a 34-year-old mother of two children: a 10-year-old and a lively 6-year-old. Her husband is very supportive. J. was diagnosed with colon cancer 4 years ago and was treated with resection, colostomy, and radiation treatments. Unfortunately an abdominal CT scan performed 1 year ago revealed liver metastases. Chemotherapy failed to help, and J. knows that her time is limited. She is determined to be at home for as long as possible. Problems with pain and nausea are under reasonable control. The clinician visits J. at home one afternoon. Her husband has taken the children out to a movie and J. begins by saying that she is feeling “exhausted.” She adds that she has not been sleeping at night or, rather, has to wake up to take her pain medication every 4 hours. WHAT ARE YOUR PHYSICAL FINDINGS? WHY DOES J HAVE FATIGUE? WHAT ARE THE INFLUENCING FACTORS? WHAT ARE YOUR NURSING PROBLEMS AND WHAT WOULD YOU DO TO HELP CORRECT J’S SIGNS OF FATIGUE? MEDS? INTERVENTIONS? WHAT…arrow_forwardGive typed full explanation APA Annotated Bibliography about Sudden Infant Death Syndrome. The subcategory is evaluation. How well do the interventions work in practice? Please provide APA citations within last 2 years.arrow_forwardCase Scenario Maine is a 20 year old Primi patient. She was at 6 cm cervical dilatation when she came in the Labor Room. She informed the nurse that the Pain is so severe and she asked for pain reliever. Maine was crying tremendously telling Nurse Sam that the pain is unbearable. Nurse Sam observed that the husband is not around and Maine was accompanied only by her Uncle. Upon checking the data, Nurse Sam found that Roxxane is not married. Her record showed that she visited the Pre natal clinic for three times only during the pregnancy period. Nurse Sam assessed the labor process and informed the Obstetrician on duty. Maine had a pain score of 4/10. Vital signs taken and recorded the following data ; BP 130/90 Pulse 85;, RR 26; Temperature 37.3 C. Nurse Sam noted also that the bladder is full, thereby assisted Roxanne to go in the bathroom. After 10 minutes, the Obstetricia came and ordered to give Diclofenac Sodium 75 mg IM stat. Question: 1. What other strategies/…arrow_forward
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