You received patient during your morning shifdt, lying on bed at supine position, conscious, coherent and oriented with ongoing IVF of D5LR 1000 ml over 8 hours in an IV set calibrated at 10 drops per ml inserted c. Lt. metacapal vein. Her vital signs. BP: 130/110 mmHg, Temperature: 36.5 degree Celsius, PN: 82 bpm; RR: 20cpm: SPO2: 99% on room
You received patient during your morning shifdt, lying on bed at supine position, conscious, coherent and oriented with ongoing IVF of D5LR 1000 ml over 8 hours in an IV set calibrated at 10 drops per ml inserted c. Lt. metacapal vein. Her vital signs. BP: 130/110 mmHg, Temperature: 36.5 degree Celsius, PN: 82 bpm; RR: 20cpm: SPO2: 99% on room air and RBS: 85 md/dl.
Mrs. Nadia Angeles, female, 32 years old, elementary teacher, G2P2 delivered Large-of-gestational Age baby via NSD. She is hypertensive and diabetic receiving maintenance medications 2 hours after delivery, she cried helplessly complaining of severe abdominal pain and sharp peri-anal pain at 10/10 pain scale. She became restless and agitated resulting her to hyperventilate.
What is the nursing care plan? (state all the abnormal finding based on BUBBLE HED)
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