Diseases and Disorders: A Nursing Therapeutics Manual by Marilyn Sawyer Sommers PhD RN FAAN, Ehriel Fannin PhD(c)

By Marilyn Sawyer Sommers PhD RN FAAN, Ehriel Fannin PhD(c) RN CNL

Everything you want to find out about taking good care of patients—in one moveable "must have" handbook!

Clear, yet entire discussions of pathophysiology, with rationales within the medicines and laboratory sections, explain the scientific foundation for the nursing care.

Thoroughly revised and up-to-date all through, the fifth version comprises the most recent medical advances and the perform of nursing today.

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In a central abruption, the separation occurs in the middle, and bleeding is trapped between the detached placenta and the uterus, concealing the hemorrhage. Frank vaginal bleeding also does not occur if the fetal head is tightly engaged. Since bleeding can be concealed, note that the apparent bleeding does not always indicate actual blood loss. If the placenta completely detaches, massive vaginal bleeding is seen. Abruptions are graded according to the percentage of the placental surface that detaches (see Table 1).

GLOBAL HEALTH CONSIDERATIONS No data are available. ASSESSMENT HISTORY. Metabolic Acidosis. Establish a history of renal disease, IDDM, or hepatic or pancreatic disease. Determine if the patient has experienced seizure activity, starvation, shock, acid ingestion, diarrhea, nausea, vomiting, anorexia, or abdominal pain or dehydration. Ask if the patient has experienced dyspnea with activity or at rest, as well as weakness, fatigue, headache, or confusion. Metabolic Alkalosis. Establish a history of prolonged vomiting, NG suctioning, hypercalcemia, hypokalemia, or hyperaldosteronism.

Monitor emotional status. Emotional support of this patient is very important. In cases of a threatened abortion, avoid offering false reassurance because the patient may lose the pregnancy despite taking precautions. ” are helpful. ” Inform the patient of perinatal grief support groups. POSTOPERATIVE. Expect the patient to experience very mild uterine cramping and minimal vaginal bleeding. Patients become very drowsy from the anesthesia; ensure that a call light is within easy reach and side rails are up for safety.

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