The Postpartum Case Study Discussion: Margaret O’Gorman

What are the nurse’s priorities for this patient?

The nurse should provide a woman with all the needed care in terms of a patient-centered approach. It presupposes assistance in physical and psychological recovery during the post-partum period (Soma-Pillay et al., 2018). Because of the symptoms that are observed in the patient, a nurse should control the blood pressure and urine.

What symptoms and signs should alert the nurse to potential problems that might need immediate intervention?

The high blood pressure 169/102, heart rate of 98 indicate the need for immediate actions to avoid the further complication of the state. The given signs might stand for post-partum pre-eclampsia with blurred vision, severe headache, pain in the epigastrium (Soma-Pillay et al., 2018). The combination of such symptoms is dangerous as it can lead to a fatal worsening of the situation and the patient’s death. For this reason, immediate actions are needed.

What would be the best way for the nurse to respond to the patient’s condition?

First, the nurse should create a calm environment needed for a patient to avoid extra stress. Moreover, she/he should continue monitoring blood pressure, other vitals, and such symptoms as blurred vision, headache, vaginal bleeding, or pain. If any of these aspects become worse, the doctor should be reported immediately.

What might be the significance of the patient’s perineal pain?

The women might feel pain several days after birth because of the changes in perineal tissue or perineal trauma. Moreover, as there was a midline episiotomy, the pain might be associated with it. Women with the first experience of motherhood might feel pain linked to their condition. Finally, the pain might be caused by the infection.

Explain the significance of the patient’s laboratory CBC, and LFT results.

The white cell count can increase in the first periods of post-partum and return to the regular showings. A low hemoglobin level indicates blood loss and post-partum anemia. The hematocrit level below 26% shows that blood loos is about 500ml (Soma-Pillay et al., 2018). The values linked to liver function show elevated transaminase, ALT. In general, the results show some problems that should be managed.

How would you measure the patient’s blood loss?

The blood loss can be measured by evaluating the hemoglobin concentration in venous blood and spectrophotometry (Diaz et al., 2018). The dye dilution technique scan helps to acquire precise meanings (Diaz et al., 2018).

References

Diaz, V., Abalos,E., & Carroli, G. (2018). Methods for blood loss estimation after vaginal birth. Cochrane Database of Systematic Reviews, 9, CD010980. Web.

Soma-Pillay, P., Pillay, R., Wong, T., Makin, J., & Pattinson, R. (2018). The effect of pre-eclampsia on retinal microvascular caliber at delivery and post-partum. Obstetric Medicine, 11(3), 116–120. Web.