V-Sim Clinical Olivia Jones Patient Introduction Olivia Jones is a 23-year-old African-American female, G1P0 at 36 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance. Pregnancy has been unremarkable...
V-Sim Clinical Olivia Jones
Patient Introduction
Olivia Jones is a 23-year-old African-American female, G1P0 at 36 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance.
Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission.
She has gained 3 pounds since prenatal visit 1 week ago. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial puffiness.
Ms. Jones is complaining of a headache that is not resolved with acetaminophen. She presents with nausea and fatigue and complaining of epigastric pain, visual changes, and chest tightness. The fetus is active; however, patient states that it is a bit quieter than normal. There is a possibility of premature rupture of membranes. An IV with lactated Ringer's is running at 125 mL/hr. Labs were obtained.
Readings: Hypertension during pregnancy: Read pages 97 - 100
Also review: on Vsim
1.Pharmacology: Magnesium Sulfate
2.Procedures: Deep Tendon Reflex Assessment & Magnesium Sulfate Administration
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VSIM CLINICAL OLIVIA JONES Stuvia.com - The Marketplace to Buy and Sell your Study Material
V-Sim Clinical Olivia Jones
Concept Map Worksheet Activity
Patient Complaint and Pathophysiology of Disease/Condition:
Severe preeclampsia is characterized by high blood pressure greater than 160/110mm Hg. It is
unknown, in regards to, the pathophysiology. This condition causes pulmonary edema, oliguria,
seizures, abnormal liver enzymes, and thrombocytopenia.
Anticipated Findings: Increased blood
pressure >140/90
Facial edema
Oliguria
Headache
Difficulty breathing
Pitting edema
(dependent)
Epigastric painDiagnostic Tests: Fetal heart rate
monitor
CBC
Urine Dipstick
Liver function testPatient Information: Olivia Jones is a 23-year-old
African-American female,
G1P0 at 36 weeks of
gestation. She has been
diagnosed with severe
preeclampsia and is
admitted to the labor and
delivery unit for assessment
and surveillance.
Anticipated Nursing Interventions: Monitor labs
Monitor both maternal and fetal vitals
Provide patient and family emotional support
Provide patient and family education on what is happening
Assess deep tendon reflexes
Auscultate patient’s lung soundsStuvia.com - The Marketplace to Buy and Sell your Study Material
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