Diseases and Disorders: A Nursing Therapeutics Manual by Marilyn Sawyer Sommers PhD RN FAAN, Ehriel Fannin PhD(c)

By Marilyn Sawyer Sommers PhD RN FAAN, Ehriel Fannin PhD(c) RN CNL

Everything you want to find out about taking care of patients—in one transportable "must have" handbook!

Clear, yet finished discussions of pathophysiology, with rationales within the medicines and laboratory sections, explain the scientific foundation for the nursing care.

Thoroughly revised and up to date all through, the fifth variation contains the newest clinical advances and the perform of nursing today.

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Extra resources for Diseases and Disorders: A Nursing Therapeutics Manual

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Bleeding and cramping are minimal. Monitor the patient for complications, such as excessive bleeding and infection. With a missed abortion, the physician can wait for up to 1 month for the products of conception to pass independently; however, disseminated intravascular coagulation (DIC) or sepsis may occur during the wait. Clotting factors and white blood cell counts should be monitored during this waiting time. The physician can remove the products of conception if an SAB does not occur. Pharmacologic Highlights Medication or Drug Class Dosage Description Rationale Oxytocin (Pitocin) 10–20 U IV after passage of tissue Oxytocic Stimulates uterine contractions to decrease postpartum bleeding RhoGAM 120 mg (prepared by blood bank) Immune serum Prevents Rh isoimmunizations in future pregnancies; given if mother is Rh negative and infant is Rh positive Independent PREOPERATIVE.

Provide demonstration and information on how to manage any drainage systems, colostomy, intravenous therapies, or surgical wounds. 9 days MEDICAL: Abortion without Dilation and Curettage S pontaneous abortion (SAB) is defined as the termination of pregnancy from natural causes before the fetus is viable. Other terms include miscarriage or spontaneous early pregnancy loss. Viability is defined as 20 to 24 weeks’ gestation or a fetal weight of more than 500 g. SABs are a common occurrence in human reproduction, occurring in approximately 15% to 22% of all pregnancies.

Give the patient a phone number to call with questions or concerns. Work with the trauma team to assess the need for home health assistance following discharge. Provide demonstration and information on how to manage any drainage systems, colostomy, intravenous therapies, or surgical wounds. 9 days MEDICAL: Abortion without Dilation and Curettage S pontaneous abortion (SAB) is defined as the termination of pregnancy from natural causes before the fetus is viable. Other terms include miscarriage or spontaneous early pregnancy loss.

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