You are working in a high risk L&D unit and just received a call from Dr Green s

Question

You are working in a high risk L&D unit and just received a call from Dr Green saying that he is sending in a 38 year old approximate 32wk G2P1 in for elevated blood pressures in the office and is needing an NST, continuous monitoring of BP and further labs. The patient was a drop-in to the clinic without previous prenatal care. She is unsure of her LMP and states that her two year old son “came early” at 36 weeks which was a vaginal delivery without any anesthesia, “because he came so fast”. She is not reporting any contractions or pain at this time. During her office visit she presents at 2/70/-3. She has no support person with her.

What orders might you anticipate receiving from the doctor and Why?

Explanation / Answer

As per the condition been detaled about the patient , in 32 weeks she is suffering from elevated blood pressure .

There are some points to be maintained .

1. admited the patient as early as possible.

2. continuose monitoring of blood pressure, and inform the doctor if any changes is seen.

3. watching for any symtomps of stroke, seizures , and bleeding.

4. sending lab for identifying the HELLP syndromes ( HEMOLYSIS ELEVATED LIVER ENZYMES AND LOW PLATELETS).

5.Monitoring of the fetus by continous NST.

If any above symptoms are recognised immediately inform the doctor.

In such conditions The doctors might immediately will ask for following thinks to do.

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