High-Risk Pregnancy By Lucy
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| show | Excessive nausea, vomiting, dehydration, reduced delivery of blood, oxygen, and nutrients to the fetus, and can affect fetal growth.
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| show | Correct dehydration and electrolyte or acid-base imbalance. Antiemetic drugs: Fenergyn, Zofran, Reglan, and Ginger. In extreme cases: TPN and hospitalization.
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| Types of Spontaneous Abortions | show 🗑
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| Threatened Abortion | show 🗑
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| show | S/SX: ROM, cervix dilated, active heavy bleeding, and dilation and curettage (D&C) if tissue remains or heavy bleeding.
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| Incomplete Abortion | show 🗑
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| show | Cardiovascular status stabilazation, IV, Blood, D & C followed by IV Pitocin or IM Methergine, D & C not usually after 14 wks due to excessive bleeding potential; Pitocin or prostaglandin.
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| Recurrent Abortion | show 🗑
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| Management of Recurrent Abortions | show 🗑
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| Causes of Ectopic Pregnancy | show 🗑
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| show | hCG+, pain, vaginal bleeding, dizziness, or faiting, low BP, and lower back pain.
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| Diagnosis of Ectopic Pregnancy | show 🗑
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| Management of Ectopic Pregnancy | show 🗑
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| Nursing care for Ectopic Pregnancy | show 🗑
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| Hydatidiform Mole | show 🗑
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| show | Bleeding, rapid uterine growth, failure to detect fetal heart activity, signs of hyperemesis gravidarum, unusually early development of GH, higher than expected levels of hCG, A distinct snowstorm pattern on ultrasound and no evidence of developing fetus.
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| show | Transvaginal ultrasound and hCG levels are high.
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| show | Lab work, vacum aspiration and D&C (maybe hysterectomy), followed by Pitocin. Examine tissue for malignant changes, chest X-Ray. F/U hCG levels every 1-2 weeks till normal; then q 1-2 months X 1yr. No pregnancy for 1 year.
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| show | Abnormal implantation of placenta. Bright painless bleeding usually seen in the last 2 months.
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| show | Goal: identify cause of bleeding. Treatment: Bed rest with BRP, no vaginal exams, monitor blood loss, fetal monitoring, labs, IV LR, blood shuld be available (usu. 2 units), and mom will have a C-section.
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| show | Sudden onset, premature separatin of placenta before fetus is born, perinatal mortality if seperation 20-40%, full seperation = fetal demise.
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| S/Sx of Abruptio Placentae | show 🗑
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| Management of Abruptio Placentae | show 🗑
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| show | Blood clotting mechanisms are activated throughout the body instead of being localized to an are of injury. Overtime, the clotting proteins become used up and are unavailable during times of real injury.
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| S/Sx of DIC | show 🗑
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| Tests for DIC | show 🗑
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| show | Platelets, heparin (not with trauma), FFP, and Cryprecipitate.
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