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
