2 pages/≈550 words
Health, Medicine, Nursing
Case study: Ectopic Pregnancy (Essay Sample)
Ectopic Pregnancy Mrs. Rumplestilkin is a 27-year old woman, with a history of recurrent miscarriages, comes into the emergency room accompanied by her husband. ADMISSION ASSESSMENT: Subjective Data: -Complains of sharp stabbing pain in left lower abdomen and pain in shoulders -Started spotting about an hour ago. -Gravida 1, Para 0 -7 weeks gestation in this pregnancy. - “I feel dizzy and weak.” -Stated “Scared that I am losing the baby.” Objective Data: -Vital Signs – Temperature 97.80 F, Pulse 100, Respirations 26, Blood Pressure 100/62 -Peri pad with moderate amount of dark red bleeding -Pale, skin cool to touch -Abdomen rigid upon palpation Medical History: The client had no history of pelvic inflammatory disease (PID), no prior use of intrauterine contraceptive device (IUD) and no use of fertility drugs. Lab Data: -HCG level was 13.073 IU/L and in five days increased to 25.217. - A transvaginal ultrasound was used for diagnosis. Results: Transvaginal ultrasound showed no intrauterine pregnancy and showed a ruptured fallopian tube and collecting pelvic fluid. This lead to the diagnosis of ruptured left ectopic pregnancy. The right tube appeared normal. There was absence of hemoperitoneum. Critical Thinking Questions: 1. Mrs. R. was diagnosed with a left tubal ectopic pregnancy. In addition to an ectopic pregnancy being in the fallopian tube, where are other locations? 2. What signs and symptoms did Mrs. R. display that represented irritation of the peritoneum? What other disorders have similar symptoms? Treatment and Nursing Care: 3. Since Mrs. R's. fallopian tube ruptured, what would be the most likely treatment? 4. If the tube had not ruptured, what two additional treatment options could have been considered? Explain how they work. a. b. 5. Mrs. R. asks if she can ever get pregnant again? What does the nurse base the response? 6. Mrs. R. asks what caused the baby to implant in the fallopian tube? The nurse would base the response on the most common predisposing factors related to an ectopic pregnancy which are? 7. What discharge instructions would you provide for Mrs. R and her husband? Instruction for Case Study. Please answer just the question ( e.g. Number 1. then answer). (Can you please used Perry (2014). Maternal Child Nursing Care (5th ed.). Philadelphia, PA: Elsevier.) as one of the reference and any other reference you choose. Identification of Main Issues/Problems - Identifies and demonstrates a sophisticated understanding of the main issues/problems in the case study. Analysis and Evaluation of Issues/Problems - Presents an insightful and thorough analysis of all identified issues/problems; includes all necessary calculations. Recommendations on Effective Solutions/Strategies - Supports diagnosis and opinions with strong arguments and well- documented evidence; presents a balanced and critical view; interpretation is both reasonable and objective. Links to Course Readings and Additional Research - Makes appropriate and powerful connections between identified issues/ problems and the strategic concepts studied in the course readings and lectures; supplements case study with relevant and thoughtful research and documents all sources of information. Writing Mechanics and Formatting Guidelines - Demonstrates clarity, conciseness and correctness; formatting is appropriate and writing is free of grammar and spelling errors. Uses APA and citations appropriately; uses 2 or more references source..
Social Performance of Organizations Student: Professor: Course title: Date: Student: Professor: Course title: Date: 1 Ectopic pregnancies mainly occur in the fallopian tubes. Other locations include abdominal cavity, cervix and ovary. 2 There are a number of signs that were an indicator of irritation of peritoneum. They include thick blood spots, pain on the lower side of the abdomen, and sharp cramps. In the event that the fallopian tube raptures, the pain may be so severe that the patient may faint. The patient may also experience nausea. When a pregnant woman experiences such symptoms, she must immediately seek consultation with her doctor. This is in order to confirm exactly the issue. Miscarriage is another condition that displays similar symptoms (Perry, 2014). A checkup is necessary so as to establish whether it is a miscarriage or an ectopic pregnancy. 3 When a fallopian tube has ruptured, an emergency surgery must be undertaken to ensure that the bleeding is stopped. In more severe cases where the rupture has caused great damage to the tube, the tubes are removed. 4 A) Where there is no rupture, the embryo may be removed through a laparoscopic surgery. This is where laparoscope is inserted into the abdomen through a small incision. A further small incision is done on the fallopian tubes where the embryo is removed without causing any damage to the fallopian tubes (Perry, 2014). B) Alternatively, medication may be used to stop the growth of the pregnancy. Th...
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