*NURSING > CASE STUDY > V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest spring 2022/2023. (All)
V-Sim Clinical Olivia Jones Patient Introduction Olivia Jones is a 23-year-old African-American female, G1P0 at 36 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted t... o the labor and delivery unit for assessment and surveillance. Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. She has gained 3 pounds since prenatal visit 1 week ago. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial puffiness. Ms. Jones is complaining of a headache that is not resolved with acetaminophen. She presents with nausea and fatigue and complaining of epigastric pain, visual changes, and chest tightness. The fetus is active; however, patient states that it is a bit quieter than normal. There is a possibility of premature rupture of membranes. An IV with lactated Ringer's is running at 125 mL/hr. Labs were obtained. Readings: Hypertension during pregnancy: Read pages 97 - 100 Also review: on Vsim 1. Pharmacology: Magnesium Sulfate 2. Procedures: Deep Tendon Reflex Assessment & Magnesium Sulfate Administration [Show More]
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