【正文】 of past delivery or unrealistic perceptions of abnormality of cesarean birth that will increase anxiety. Nursing Care Plan 33 Interventions Rationale Evaluation Support/redirect expressed coping mechanisms. Improves fundamental and automatic coping mechanisms, increases selfconfidence and acceptance, and reduces anxiety. Note: Some actions by the patient may be viewed as ineffective (., screaming and throwing things) and need to be redirected to enhance patient’s sense of control. Goal Met: The patient discussed feelings about cesarean birth. The patient appears relaxed and fortable. The patient verbalizes fears for the safety of herself and infant. Allot time for privacy. Allows patient or couple to internalize information, anize resources, and cope effectively. 34 THANKS 。 Family Education. ? Nursing Responsibilities 催產(chǎn)素 All the medicines information e from NCLEXRN (NURSING DRUG HANDBOOK,2022) What’s the Nursing problems ? Question Nursing Care Plan 24 Nursing problem 1 Risk for Infection: At increased risk for being invaded by pathogenic anisms. May be related to CS and gestational diabetes. Goals: *The patient will not experience signs of infection by discharge. *The patient achieves timely wound healing without plications Nursing Care Plan 25 Interventions(干預(yù)措施 ) Rationale(基本原理 ) Evaluation Wash hands before and after caring for patient, using gloves when indicated。O ratio, weight, strength, duration, and frequency of contractions, as well as fetal heart tone and rate, before instituting treatment. 2) Monitor fetal heart rate and maternal BP and pulse at least q15min during infusion period。O, renal function tests for nephrotoxicity. Be alert for superinfection: fever, vomiting, diarrhea, anal/ genital pruritus, oral mucosal changes (ulceration, pain, erythema). c) PATIENT/FAMILY TEACHING ?Disfort may occur with IM injection. ? Doses should be evenly spaced. ? Continue antibiotic therapy for full length of treatment. ? May cause GI upset (may take with food, milk). ? Nursing Responsibilities 頭孢呋辛 Feosol Ferrous Sulfate a) ADULTS, ELDERLY:65 mg 2–4 times a day. b) CHILDREN: 3–6 mg/kg/day in 2–3 divided doses. ? Usual Dosage Prevention, treatment of iron deficiency anemia due to inadequate diet, malabsorption,pregnancy, blood loss. ? Use a) Occasional: Mild, transient nausea. b) Rare： Heartburn, anorexia, constipation, diarrhea. ? SIDE EFFECTS A. BASELINE ASSESSMENT Assess nutritional status, dietary prevent mucous membrane and teeth staining with liquid preparation, use dropper or straw and allow solution to drop on back of tongue. B。 no arthralgia。 no colds。 no loss of consciousness HEENT: No blurring of vision。 no seizure。 no cough。 no constipation GUT: No dysuria, frequency, no urgency NMS: No malaise。usually occurs after second course of therapy and resolves after drug is discontinued). c) Rare: Allergic reaction (rash, pruritus, urticaria), thrombophlebitis (pain, redness, swelling at injection site). ? SIDE EFFECTS a) BASELINE ASSESSMENT Obtain CBC, renal function tests. Question for history of allergies, particularly cephalosporins, penicillins. b) INTERVENTION/EVALUATION Assess oral cavity for white patches on mucous membranes, tongue (thrush). Monitor daily pattern of bowel activity, stool consistency. Mild GI effects may be tolerable (increasing severity may indicate onset of antibioticassociated colitis). Monitor Iamp。U]/mL ? Usual Dosage Used for labor induction, augmentation of labor, postpartum abbreviation of third stage of labor, postpartum control of uterine bleeding, termination of pregnancy and for the evaluation of fetal respiratory capability. Oxytocin cannot be used for elective induction of labor, there must be a clear medical requirement. ? Use Adverse Effects CV: Hypertention, increase heart rate, systemic venous returns, cardiac output GI: Nausea and Vomiting Repiratory: Anoxia, Asphyxia Others: Low APGAR score at 5 mins. ? SIDE EFFECTS 1) Start flow charts to record maternal BP and other vital signs, Iamp。O ratio (., marked decrease in output with excessive intake). 5) Check fundus frequently during the first few postpartum hours and several times daily thereafter. 6) Incidence of hypersensitivity or allergic reactions is higher when oxytocin is given by IM or IV injection rather than by IV infusion (diluted solution). 7) Patient