Pre-Brief Assignment Ms. Elena Wish is a
Pre-Brief Assignment Ms. Elena Wish is a 23yo Gravida 1 Para 0 patient complaining of nausea and vomiting for the last two weeks. Ms.Wish voices she cannot keep any food down and only tolerates small sips of juice. She complains of dizziness and dry mouth. LMP 11/26/2020, Current weight is 155. Two weeks ago, at her obstetrician’s office she weighed 164.3. Dr. Whirl has decided to admit Ms. Wish with a medical diagnosis of Hyperemesis Gravidarum. Ms. Elena denies allergies or any past medical history. Current Vital Signs 128/78, 20, 133, 99%. FHM= fetal tachycardia at 180 with no uterine contractions. What are some major health concerns for Miss. Wish and her fetus based off the above scenario? Describe the assessment for Hyperemesis Gravidarum. What components are in the history of prenatal care? What would be concerning? What are the definitions of terms in prenatal care? TPALM system? What is Nägele’s Rule? What is Ms. Wish’s due date? Define ketonuria, what does this indicate in a pregnant woman? How do you measure fundal height? What is the rational for left side laying with pregnancy? Pregnancy drug warning categories… which is the safest and what is considered contraindicated? Post-Simulation Assignment Create an SBAR report for the actions that you did in the simulation. The SBAR is a powerful tool that is used to improve the effectiveness of communication between individuals. It is easy to use and can help your staff learn the key components needed to send a complete message! Here are the key components of the SBAR: Situation: Clearly and briefly define the situation Background: Provide clear, relevant background information that relates to the situation. In the example above, you should consider including the patient’s diagnosis, the prescribing physicians, and the dates and dosages of the medications. Assessment: A statement of your professional conclusion. Recommendation: What do you need from this individual? Create a concept map for the diagnosis of Hyperemesis Gravidarum. Pathophysiology Medication Medical Interventions Nursing Interventions Nursing Considerations Pertinent Assessment Findings Patient Education Please complete medication cards: .9% Normal Saline 500cc bolus 4MG Zofran 1 Gram Acetaminophen Example of the Drug card expected: Nitrofurantoin (Macrobid) Class: Urinary tract anti infective Actions: Inhibits bacterial acetyl-CoA interference with carbohydrate metabolism. Indications: Urinary tract infections caused by Escherichia coli, Klebsiella, Staphylococcus Side Effects: Dizziness, headache, drowsiness, peripheral neuropathy, chills confusion vertigo Nursing Considerations: Lab tests: Culture and Sensitivity of urine sample before treatment. After treatment serum BUN and Creatine. Intake and Output, dysuria fever cloudy foul- smelling urine. SCIENCE HEALTH SCIENCE NURSING CLINICALS 330
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."
