Scenrios Maternal Child Atnepartum

 Scenrios Maternal Child Atnepartum Essay

Chief Complaint/ History of Present Illness:

Mindy Perkins is definitely 48 year old woman who presents towards the ED with 10- 15 loose, liquid stools daily for the past two days. She completed a course of common Amoxicillin 7 days ago for a dental infection. In addition to loose bar stools, she gripes of reduced abdominal soreness that started out 2 days and nights ago too. She has certainly not noted any blood in the stool. Your woman denies vomiting, fever, or chills. She's on Prednisone for Crohn's disease as well as Pantoprazole (Protonix) for serious GERD. Previous Medical History:

Crohn's Disease

GERD

The Initial Essential Signs:

Temperature (Oral): 100. 2o N

Pulse: 80

Respirations: 20

Stress: 122/78

T-MOBILE Saturations upon Room Air flow: 98%

Orthostatic Blood Pressure:

Lying down: B/P- 122/78 HR- 92

Standing: B/P- 120/70 HR- 114

W. I. T. D. A. Pain Level (5th Vital Sign)

Phrases: CrampyIntensity: 7/10

Location: Generalized throughout RLQ & LLQ

Duration: Consistent since onset 2 days and nights ago

Aggravate: None /Alleviate: None

Your Initial Breastfeeding Assessment:

General Appearance: Looks weak and uncomfortable. Quickly fatigued Respiratory system: Breath noises clear with equal oygenation bilaterally, non- labored Heart failure: Skin red, warm, & dry, S1S2, No edema, Pulses 3+ in all extremities Neuro: Warn & focused x4

GI/GU: Active BS in all some quadrants, belly soft & tender to palpation in lower abdomen- No rebound tenderness or guarding MISC: Lips dry out, oral mucosa tacky without having shiny saliva present in mouth Nursing Concours:

Orthostatic BP's (ED standing order)

Set up PIV (ED standing order)

Initiate Enteric Precautions (ED standing order)

Physician Requests:

Admit to medical unit

0. 9% Normal Saline 1000 mL IV bolus

Hydromorphone (Dilaudid) 1 mg IV drive (IVP)

Chair culture to get Clostridium pas evident

Basic Metabolic Panel (BMP)

Complete Blood Count (CBC)

Vancomycin 250 mg 4

1000 mg/ 20 mL… determine serving to administer: ______5ml__________________ Lab/ Analysis Results:

Stool...


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