What is your initial impression and what are your treatment

Reference no: EM133397813

Case Study: A 35-year old G1P0 woman presents to a small rural ED complaining of 10 hrs of 4/10 regular period-like pelvic cramping radiating into her lower back as well as gradual onset 8/10 diffuse "throbbing" headache accompanied by blurring vision. She denies vaginal bleeding, urinary symptoms, GI symptoms, fever or chills. She denies neck pain or stiffness, limb weakness or numbness or speech difficulty. Her Group B Strep status is unknown. According to her LMP she is approximately 30 weeks gestation. She has had no prenatal care to date. Her past medical history is unremarkable and she does not take any medication. Her vital signs in the ED reveal a BP of 175/115, heart rate of 95, respiratory rate of 17 and temperature of 36.5. Her GCS is 15, PERL, gait normal, no pronator drift, but her extremity deep tendon reflexes are hyper-reflexic. Her chest is clear. Her lower abdomen is tender with no periotneal signs and no organomegaly. Her cervix is 2 cm dilated and soft. There is some greenish discharge per os. A urine dip shows 3+ protein and 2+ blood. Routine blood work is sent, but no results are available at this time. The time to arrange for and a transfer to the closest tertiary obstetric center is approximately 4 hours.

Questions:

What is your initial impression and what are your treatment priorities?

What is the diagnosis? Support your answer with evidenced based citations

What are the severe features of the patient diagnosis? What are your priority interventions? Support with Rationales

What specific medications would you give?

What are your nursing considerations for the medications? Is this patient in labor? Provide examples and rationales to support your answers.

Reference no: EM133397813

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