Nursing skills carried out whilst working in maternity: nurse admission for elective LSCS list eg, correct paperwork, consent, next of kin, cautiousness preferences where indicated, etc.. Cannulation for access plus associated work up Liasing with health check examination staff, anaesthetics/ O and G Womans advocate Staying in PACU with new family, providing involve nursing trade for immediate set up surgical half hour. Problem firmness: initiating care hindrances, with timely canvas and analysis, eg, Problem: low post op BP in PACU with spinal anaesthetic in place Care intervention: take manual BP, and constrict angle of head elevation study: BP uniform on manual, => 20% drop systolic. Anaesthetist informed. Pt characteristic now vomitive: maxalon IV as per PACU stand redact Review: BP same, IV fluids increased: pt healthy with no heart/cvs problems. Anaesthetist orders 4mg odansetron IV anti nauseant ( 5ht inhib action) To reduce post op nau sea and vomiting/due to hypotension? Sympathetic repartee to spinal. Review BP interpreted and immediate effect of increased fluids ( volume) has correctd BP. nausea/vomiting settling from drug interventions. Patient feels improved, colour returns to face. depth psychology: nursing interventions can help in an acute clinical situation.

Although the anesthetist was informed, several things had been initiated by me prior to him being notified: A manual BP was taken to confirm what the autocuff was reading, Head was lowered, and pillow at a lower place feet to improve the venous return Fluids were speeded up to increase the spread volume ( throw volu! me X resistance= HR ) after sustain no obvious CVS problems. This is important because qualifying magnitude fluids and overloading a cognise weakened heart, could possibly break away to right cardiac tribulation or pulmonary hypertension. increase a patients IV drip rate without a medical order, can be reckless. I used my professional idea and PACU experience to identify that increasing the fluid rate in this...If you want to get a full essay, order it on our website:
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