Question

HYPOTHETICAL SITUATION

24-year-old patient arrives at the emergency room at 9: am with severe pain in the pelvic area when examined by the doctor on duty, the patient presents profuse bleeding of bright red color. He says that the pain started the night before. She refers to having a 22 week gestation, maintains prenatal control with her gynecologist, is her second pregnancy, is a consumer of cigarettes and alcoholic beverages. Patient presented vital signs BP 140-95 Pulse 120 R 15 T 38.5 and Saturation 92%. Tyleno 500mg PO administered every 4 hours keeps IV Rangel Lactate 1000ml down in 2 hours.

Notes: Analyze the hypothetical situation, and then look for the targets that the arrows have, and then make a care plan using Marjory Gordon's employers. Carry out the interventions according to your knowledge and scientific basis.

➢ objectives

  ➢ content

  ➢ list of problems

  ➢ care plan

  ➢ conclusion

Care Plan Format

Functional pattern altered	Diagnosis of Nursing (PES, NANDA)	Expected results (client, verb, criteria, time)	Nursing orders (Independent, dependent and interdependent)	Rational Scientific	Evaluation

Answer 1

Objectives

To stop the bleed and find the cause of bleed.

Content::

The patient looks to be a case of ante partum haemorrhage

Aph can be due to smoking and pregnancy induced hypertension in the patient.Cause of aph will be found out by proper diagnosis

List of problems::

1.Placenta previa

2.Abruptio placenta

3.Hypertension

4.Ectopic pregnancy

CARE PLAN::

Diagnosis techniques

1.USG

2.Uterine artery Doppler

3.Examination of the blood

Interventions used::

1. Use of Bp lowering drugs like labetalol

2.Use of tocolytics

3.magnesium sulfate to prevent preeclampsia

Conclusion ::

Patient looks to be case of Antepartum haemorrhage caused due to hypertension

Smoking is a risk factor