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 pane or hypersensitivity to the drug whitethorn result in uterine hyper tonicity, cramp iron or rupture of the uterus. 2. There is the surmise of increased dividing line loss and afibrinogenemia. 3. Severe allergic response may let in rash, hives, itching, difficult breathing, tightness in chest, and swelling of the mouth, face, or tongue. separate adverse reactions may include blood clotting problems, changes in effect rate, heavy of regular bleeding after bath, pissing int oxication and convulsion. 4. For the fetus or neonate, severe side effect may include bradycardia, abiding brain damage, neonatal jaundice, and neonatal retinal hemorrhage. T.A. is receiving I.V. Pitocin at 12mls/minute.

She is contracting either bingle to two minutes and the mordant eye rate service line is 160-168 with late decelerations. What actions should the flirt with take? The nurse will invite to stop the medication. The patient of may be make upn oxygen, 8-10 liters to instigate the fetal boob rate. The nurse may need to give I.V fluid for decorous hydration of the patient. The cervix should also be chequered for dilatio! n status. It must be noted that the fetal heart rate baseline is higher than normal (110-160). However this does not present some(prenominal) danger to the fetus, but the nurse must keep quest after 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 aim a full essay, order it on our website: BestEssayCheap.com

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