Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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Make a Partograph in the following Case scenario
Rose is a 25 year old G2 P1 on her 39th week of pregnancy. Rose came in the labor room at 8:00 am on active labor. Vital signs : BP- 120/ 85 , Pulse = 85, RR 25 Temperature = 37.2 C,. Fundic height = 37 cm.
Nurse Mark had done the vaginal exam and showed 4 cm cervical dilatation. Fetal heart beat taken by Doppler was 156 beats / min. CTG was ordered and Rose was attached to the machine, Tracing showed several decelerations at each contraction, At 12 noon, Nurse Mark checked the vital signs and recorded the following : BP= 135/85, pulse 90 , RR = 25 Temperature 37.4 C, IE = 8 cm dilatation,. While Nurse Mark was preparing Rose for delivery, Dr. Ben the Obstetrician ,came and reminded the nurse to prepare standby 10 units of syntocinon to be incorporated in 500 ml of D5 LR post delivery. The Physician likewise ordered a standby 50 mg of Tramadol IM and this will be given after delivery. After 30 mins, Bag of water burst and a bloody show noted.
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