Olivia Jones is a 23-year-old, single, African-American female, G1 P0000 at 36 0/7 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance. The patients blood type is O+. The patient is negative for HIV and Hepatitis B. Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. She has gained 3 pounds since prenatal visit 1 week ago. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial puffiness. Ms. Jones is complaining of a headache that is not resolved with acetaminophen. She presents with nausea and fatigue and complaining of epigastric pain, visual changes, and chest tightness. The fetus is active; however, patient states that it is a bit quieter than normal. There is a possibility of premature rupture of membranes. An IV with lactated Ringer's is running at 125 mL/hr. Labs were obtained. BP 171/103, P- 113, R- 22, T-99, O2 sat 86% on room air. Magnesium Sulfate 4 gm bolus (100 ml) given at 0200, and now Magnesium Sulfate is running at 2 gms/hr. (50ml/hr.) via iv pump. Phenergan 25mg IVPB in 100ml given at 0300 for nausea. Tylenol 650mg po at 0330 for headache. Labetalol 20mg IVP given at 0400 Dr. Murray called at 0300 for orders for nausea, headache, and continued elevated BP. Dr. Murray arrived to see Ms. Jones 30 minutes ago and spoke to the patient about the necessity of performing a C section. The patient and her mother understand. Use the SBAR format to provide shift report .

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter25: Obstetrics And Gynecology

Section: Chapter Questions

Problem 25.1CS

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Olivia Jones is a 23-year-old, single, African-American female, G1 P0000 at 36 0/7 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance. The patients blood type is O+. The patient is negative for HIV and Hepatitis B. Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. She has gained 3 pounds since prenatal visit 1 week ago. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial puffiness. Ms. Jones is complaining of a headache that is not resolved with acetaminophen. She presents with nausea and fatigue and complaining of epigastric pain, visual changes, and chest tightness. The fetus is active; however, patient states that it is a bit quieter than normal. There is a possibility of premature rupture of membranes. An IV with lactated Ringer's is running at 125 mL/hr. Labs were obtained. BP 171/103, P- 113, R- 22, T-99, O2 sat 86% on room air. Magnesium Sulfate 4 gm bolus (100 ml) given at 0200, and now Magnesium Sulfate is running at 2 gms/hr. (50ml/hr.) via iv pump. Phenergan 25mg IVPB in 100ml given at 0300 for nausea. Tylenol 650mg po at 0330 for headache. Labetalol 20mg IVP given at 0400 Dr. Murray called at 0300 for orders for nausea, headache, and continued elevated BP. Dr. Murray arrived to see Ms. Jones 30 minutes ago and spoke to the patient about the necessity of performing a C section. The patient and her mother understand. Use the SBAR format to provide shift report .

Definition Definition Organic compounds that have a carbonyl group, C = O, as their functional group. The carbonyl group in ketones is placed somewhere in the middle of the molecular structure, which means, the C=O is attached to two alkyl groups or benzene rings. Just like all other homologous series, the naming of ketones is done using a common suffix “-one”. The general molecular formula is C n H 2n O. Functional group of a ketone

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