protect admission for elective LSCS list eg, correct paperwork, consent, next of kin, caveat preferences where indicated, etc..
Cannulation for access plus associated work up
Liasing with medical staff, anaesthetics/ O and G
Womans advocate
Staying in PACU with new family, providing direct nursing trade for immediate set up operative half hour.
Problem firmness: initiating care hindrances, with timely review and analysis, eg,
Problem: low post op BP in PACU with spinal anaesthetic in place
Care intervention: take manual BP, and reduce angle of head elevation
study: BP same on manual, => 20% drop systolic. Anaesthetist informed.
Pt symptomatic now vomitive: maxalon IV as per PACU stand order
Review: BP same, IV fluids increased: pt healthy with no heart/cvs problems.
Anaesthetist orders 4mg odansetron IV anti nauseant ( 5ht inhib action)
To reduce post op nausea and vomiting/due to hypotension? Sympathetic response to spinal.
Review BP interpreted and immediate effect of increased fluids ( volume) has correctd BP. Nausea/vomiting settling from drug interventions.
Patient feels improved, colour returns to face.
Analysis: nursing interventions can help in an acute clinical situation.
Although the anesthetist was informed, several things had been initiated by me prior to him being notified:
A manual BP was taken to confirm what the autocuff was reading,
Head was lowered, and pillow under feet to improve the venous return
Fluids were speeded up to increase the circulating volume ( throw volume X resistance= HR ) after sustain no obvious CVS problems.
This is important because change magnitude fluids and overloading a cognise weakened heart, could possibly lead to right cardiac tribulation or pulmonary hypertension. Increasing a patients IV drip rate without a medical order, can be reckless. I used my professional judgement and PACU experience to identify that increasing the fluid rate in this...If you want to get a full essay, order it on our website: Ordercustompaper.com
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