ADN 113 Pain management during birth

ACTIVE LEARNING TEMPLATE: System Disorder
ngoh tamanji
STUDENT NAME _____________________________________
pain management during birth
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________




Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
consist of local anesthesia like Bupivacaine
pain management -epidural alone with moriphine or fentanyle injectedd eleminates pain dduring
blocck into thee eipidural space at level of the forth uteerine contraction or birth
or fifth vetebrae



ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings assess for any
maternal hypotension pain manageement during labor aleergies to
fever anesthesia
itching
, assess for
fetal bradycardua
urinary retention urinary retentio
-fluid an
electrolyte
balancce
Laboratory Tests Diagnostic Procedures
no lab test patient choice for pain
managemnement or natural brith




PATIENT-CENTERED CARE Complications

Nursing Care Medications Client Education SID
death
administer bolus iv Bipvocaine encourge client to push respiratory
help position steady use PCA if provide
coach client to push
fentanyle or depression
asses FHR morphine orthostatic
assess for orthostatic hypotension
hypotension
-LAST

Therapeutic Procedures Interprofessional Care
encourage client to push OBYGYN




ACTIVE LEARNING TEMPLATES