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 fetus is authorized when IV. Pitocin is being administered for the following reasons: 1. Excessive acid or hypersensitivity to the drug whitethorn result in uterine hyper tonicity, cramp iron or rupture of the uterus. 2. There is the initiative of increased dividing line loss and afibrinogenemia. 3. Severe allergic chemical reaction may let in rash, hives, itching, difficult breathing, tightness in chest, and swelling of the mouth, face, or tongue. separate adverse reactions may take blood clotting problems, changes in effect rate, heavy of consecutive bleeding after bath, pissing intoxication and convulsion. 4. For the fetus or neonate, severe side effect may include bradycardia, ineradicable 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 dark eye rate service line is 160-168 with late decelerations. What actions should the take for take? The nurse will invite to stop the medication. The enduring may be make upn oxygen, 8-10 liters to instigate the fetal spunk rate. The nurse may need to give I.V fluid for square-toed hydration of the patient. The cervix should also be chequer! ed for dilation status. It must(prenominal) be noted that the fetal heart rate service line is higher than normal (110-160). However this does not present either danger to the fetus, but the nurse must keep swing 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 hold a full essay, order it on our website: BestEssayCheap.com

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