Monday, October 14, 2013

Nursing

Adekunle Onibatedo ISEC INT. COLLEGE Raleigh, NC. Attention: Dr Sarah T. Agbor ISECC CHHS MATERIAL NURSING CASE STUDY TA, 38 years old, G2P1 at 38 weeks gestation is receiving IV oxytocin for augmentation of labor. (Augmentation is the stimulation of contractions aft(prenominal) they have begun naturally. Continuous monitoring of the mother and foetus is authorized when IV. Pitocin is being administered for the following reasons: 1. Excessive loony toons or hypersensitivity to the drug whitethorn result in uterine hyper tonicity, cramp iron or rupture of the uterus. 2. There is the first step of increased dividing line loss and afibrinogenemia. 3. Severe allergic reaction may let in rash, hives, itching, difficult breathing, tightness in chest, and swelling of the mouth, face, or tongue. separate adverse reactions may allow blood clotting problems, changes in effect rate, heavy of unvarying bleeding after bath, p issing intoxication and convulsion. 4. For the fetus or neonate, severe side effect may include bradycardia, persistent brain damage, neonatal jaundice, and neonatal retinal hemorrhage. T.A. is receiving I.V. Pitocin at 12mls/minute.
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She is contracting either bingle to two minutes and the disastrous eye rate service line is 160-168 with late decelerations. What actions should the breastfeed take? The nurse will invite to stop the medication. The unhurried may be make upn oxygen, 8-10 liters to instigate the fetal total rate. The nurse may need to give I.V fluid for victorian hydration of the patient. The cervix should also be chequered for dilation statu! s. It moldiness be noted that the fetal heart rate service line is higher than normal (110-160). However this does not present any danger to the fetus, but the nurse must keep cutting of the rate. This is because higher baseline fetal heart rate may sometimes be due to agnatic fever. The nurse must take vital signs of the patient every hour.If you want to travel a full essay, order it on our website: BestEssayCheap.com

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