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BP:110 / 80 mmHg RR:22 cpm PR:68 bpm T: 36. C >with post op surgical incision on the lower part of the abdomen Failed to progress risk for labor(due to infection previous related cesarean to tissue birth, trauma cervical secondar arrest y to post cervical LTCS atrophy) G3P3 increase risk for fetal distress increase risk of fetal death
BP:110 / 80 mmHg RR:22 cpm PR:68 bpm T: 36. C >with post op surgical incision on the lower part of the abdomen Failed to progress risk for labor(due to infection previous related cesarean to tissue birth, trauma cervical secondar arrest y to post cervical LTCS atrophy) G3P3 increase risk for fetal distress increase risk of fetal death
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BP:110 / 80 mmHg RR:22 cpm PR:68 bpm T: 36. C >with post op surgical incision on the lower part of the abdomen Failed to progress risk for labor(due to infection previous related cesarean to tissue birth, trauma cervical secondar arrest y to post cervical LTCS atrophy) G3P3 increase risk for fetal distress increase risk of fetal death
Droits d'auteur :
Attribution Non-Commercial (BY-NC)
Formats disponibles
Téléchargez comme RTF, PDF, TXT ou lisez en ligne sur Scribd
progress O> v/s Risk for >Monitor v/s and >Elevation in After 4 hours of labor(due to taken as infection Within 4 hours of record rates may nursing intervention previous follow: related nursing intervention signal the pt was able to cesarean to tissue the pt will be able infection verbalize ways in birth, trauma verbalize ways in preventing cervical >assess preventing >to provide BP:110/80 secondar operative site for infection/contamina arrest baseline data y to post infection/contamina tion specifically mmHg cervical signs of infection tion specifically for LTCS proper hand atrophy) comparison RR:22 cpm G3P3 proper hand washing, and washing, and and identify ↓ proper wound care PR:68 bpm need for proper wound care as evidenced by: increase as evidenced by: further T: 36.5 C risk for fetal management >stable v/s >with post distress >maintain stable >change linens v/s >good skin integrity op surgical as necessary ↓ incision on >to prevent >no swelling, >good skin integrity the lower Increase growth of redness and pain on part of the risk of fetal >absence of microorganis operative site abdomen death swelling redness ms on linens occured and pain on >Instruct pt to and beds ↓ operative site refrain from LTG: touching/scratchi >with dry Emergent LTG: After 3 days of good intact cesarean After 3 days of good ng operative site >for nursing intervention dressing on delivery nursing immediate the px was able to the surgical intervention, the replacement achieve a timely (the incision patient will be able site to prevent wound healing that made on to achieve a timely wound healing; be skin is free of purulent the lower free of purulent breakdown drainage or part of the drainage or >start 48° post and erythema abdomen) erythema op daily wound contaminatio ↓ care n of operative site Tissue