By Michael A. Belfort, George R. Saade, Michael R. Foley, Jeffrey P. Phelan, Gary A. Dildy III
Serious Care Obstetrics offers professional medical information all through on how one can maximize the possibilities of your sufferer and her child surviving trauma.In this stimulating textual content, the world over well-known specialists consultant you thru the main tough events you as an obstetrician tend to face, allowing you to skillfully:Recognize stipulations early-on which would end up existence threateningImplement speedy life-saving remedies in emergency situationsMaximize the survival clients of either the mummy and her fetusThe 5th version of this well known booklet may also help you retain your composure in excessive danger medical events, making it a useful source for any health professional answerable for the care and administration of pregnant girls and their unborn teenagers.
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Additional info for Critical Care Obstetrics, 5th Edition
Interpretation of FHR data included the presence of a baseline fetal tachycardia, a relatively smooth FHR baseline via external or indirect monitoring, absence of FHR accelerations, and the presence of repetitive late decelerations of the FHR. Regular uterine contractions were evident on the EFM tracing. Manual palpation by the nurse revealed the contractions to be mild to moderate in intensity and the uterine resting tone was also noted to be inadequate. Nursing diagnoses, based upon interpretation of assessment findings, included decreased cardiac output, impaired gas exchange, ineffective breathing pattern, impaired maternal and fetal oxygen transport, and anxiety .
Neonatal personnel were present to assess the baby and provide necessary care. Apgar scores and cord blood gases were normal. The baby was transferred to the transitional nursery for further assessment, but a short time later was considered sufficiently 23 Chapter 3 stable to be returned to labor and delivery to stay in the room with the patient and her family. Mechanical ventilation during pregnancy: critical concepts for nursing practice General indications for the initiation of mechanical ventilation include inadequate arterial oxygenation, inadequate alveolar ventilation, and excessive respiratory workload.
The increased mineralocorticoid activity results primarily from extra-adrenal conversion of progesterone to deoxycorticosterone . It is also possible that another as yet unidentified vasodilator(s) may be responsible for the volume expansion, since studies in pregnant baboons have demonstrated that systemic vasodilation precedes the measured increase in maternal blood volume . The net result of these two opposing mechanisms is an accumulation during pregnancy of approximately 500–900 mEq of sodium and 6–8 L of total body water [23,24].