[Answered]: Case Summary Patient/Client Profile: Karen Jones…

Case Summary Patient/Client Profile: Karen Jones Primary Medical Diagnosis: 38-week gestation labor Full Code Allergies: PCN Initial VS: BP: 122/82 HR: 80 RR: 18 T: 98.2/36.8 SpO2: 98% RA Physician Orders: (not the official orders – for review/prep only) Admit to OB VS: Per protocol Diet: NPO except for ice chips with Strict I&O q 1 hour Activity: Ambulate PRN with intermittent EFM IV: Peripheral IV insertion LR 1,000mL @ 150mL/hr Labs: CBC with auto diff Type and crossmatch screen Medications: Penicillin G Potassium 5 million units IVPB x1 then Penicillin G Potassium 3 million units IVPB q4 hours Lidocaine 1% 20mL PRN Fentanyl 50mcg IVP q1 hour for pain Ondansetron 4mg IVP q4 hours for nausea Misoprostol 800mcg PR PRN uterine atony Methylergonovine 0.2mg IM PRN uterine atony Oxytocin 30 units in 0.9 Sodium Chloride 500mL IV: 334mL/hr for the first 30 minutes and then 95 mL/hr for 3.5 hours Briefly describe the pathophysiology and etiology for this problem: 1. What are you on alert for with this patient? Consider health promotion and risk factors. 2. What are the important assessments to make? 3. What complications may occur? What assessment findings MAY indicate a complication? What is the nurse looking for? 4. What interventions can the nurse do to prevent the complication? 5. What skills do you need to review to prepare for this simulation? While you prep for your clinical simulation experience, ask yourself the following questions: 1. What are the red flags based on the information I have? 2. How am I going to provide developmentally appropriate, patient-centered care today? 3. Based on the scenario and prep completed, what events are you anticipating that may occur today? (Complications, labs, health care provider orders, nursing interventions/skills? etc.)