Winter 2015 Pathophys Concept Map

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ACE inhibitor

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33 Year Old Female Term Pregnancy

New Born Baby Stressor

Adrenal Glands

Adrenal Cortex

Zona Glomerulosa

Increased Aldosterone

Renin-Angiotensin-Aldosterone Pathoway

Pain at Caesarean Section Site

No signs of Infection or Inflammation/ Incision site is dry and healing well

Pain Scale Rating of 5/10

Pain during re-positioning in bed/ from sitting to standing

Morphine 5-10 mg Q4H/PRN PO

Acetaminophen 975 mg Q6H/PRN PO

Naproxen 500 mg Q12H/PRN PO

Constipation (Last BM was before Delivery)

Patient Teaching: Ambulation

Docusate Sodium 100 mg BID/PRN PO

Flatus Present

Active Bowel Sounds in all 4 Quadrants

Increased Cardio Output

Mobilization of extra-cellular fluid into vascular compartment

Decreased pressure from the uterus

Increased flow of blood back into the heart

Uteroplacental unit returns to the central circulation

Increased Blood Pressure

Decreased Peripheral Vascular Resistance

Vasoconstriction

Fatigue

Patient Teaching: Encouragement on rest and relaxation

Decreased Blood Values

Erythrocyte Count 3.74x10^12/L

Platelet Count 138 x10^9/L

Hematocrit 0.317

Increased Plasma

Excess Fluid

Concentration of blood cells diluted

Hb 108 mmol/L

Gestational Hypertension

Measure BP every 4 hours

Diet Control (Decrease Salt Intake)

Negative Proteinuria

Mild Edema at feet

Feet cool to touch

Fluid & Electrolyte Imbalances

Elevated feet by the addition of pillows and elevating the foot of the bed

HR 65 bpm

BP 141/91 mmHg

Labetolol 200 mg BID PO

Reassess BP prior to medication administration