Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who…
Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider’s office at 33 weeks’ gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal movement. Vital signs were assessed with BP measuring 160/100. Examination reveals a soft non-tender abdomen, 2+ DTRs, and absent clonus. Urinalysis shows 2+ proteinuria. Amy’s provider diagnoses her with preeclampsia and admits her to the hospital’s high-risk antepartum unit for further testing, fetal surveillance, and expectant management.
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- Submit 10-15 PowerPoint slides including speaker notes. Utilize in-text citations as well as a reference slide. Place key points on the slides (maximum 8 words, 5 lines). You may include graphs and images.
- Slides should include the following:
- Title page
- Pathophysiology: Provide an overview of the pathophysiology of preeclampsia.
- Recognize Cues: Describe signs/symptoms, patient statements, lab work, or assessments findings you would recognize as specific to a client with this disease process.
- Generate Solutions: List at least 3 SMART goals for this client. At least one goal should be short-term; at least one goal should be long-term.
- Take Actions: What nursing interventions would you implement for Amy? At minimum, include the following topics with rationale for each intervention.
- Expectant management or serial assessments and testing
- Pharmacology management (include at minimum labetalol, hydralazine, betamethasone, magnesium sulfate, and calcium gluconate)
- Describe each medication use, desired effects, and adverse reactions. Are any pre-assessment required before administering each medication?
- Activity level
- Evaluate Outcomes: What signs will point to improving, declining, and unchanged status?
- Reference slide
- Slides should include the following:
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