Discuss the predisposing factors to pueperal sepsis

Discuss the nursing management of a mother with pruperal sepsis

Formulate atlest five nursing diagnosis for a mother with sepsis

Discuss at least five breast complication and the managent  of each include  signs and symptoms

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Nursing is a one of the most holistic careers, why do you think it is referred to as a calling

What are the most importance fundamental practice principles nurses should possess in their career

 In a unit setup what are the essentials for a nurse unit manager Discuss how the nurse leader utilize the nursing theories in advoca…

Predisposing factors to puerperal sepsis:

- Premature rupture of membranes that lasted for more than 18 hours

- Gender related differences: Women giving birth more than one vaginal examination during labour

- Prolonged labor

- They maybe postpartum hemorrhage secondary to retained placental tissue or products of conception

- Cesarean section delivery

- Contact with carriers of infectious diseases

Nursing management of puerperal sepsis:

- Provide IV antibiotics according to orders

- Provide other supportive treatments for conditions such as high temperature, pain, etc.

- Closely observe the patients’ vital signs and timely report any changes that indicate the progression of sepsis.

- Help to take blood cultures and any other lab investigation required as per prescription

- Do not transmit infections through proper hand washing and utilization of standard precaution measures.

- Comfort/assistive measures – positioning, mattress and covers

- Finally, social support and patient education have also been highlighted on.

Nursing Diagnoses for mother with sepsis:

1. Risk for decreased dietary intake:; Risk for infection:

2. Potential risk for shivering, hyperglycemia, and electrolyte disturbances due to infection response

3. Potential range of dependent variable: Acute confusion due to fever/sepsis

4. This may lead to impaired gas exchange due to the newly developed SIRS/sepsis.

5. Regarding specific pains, this one is related to inflammation and infection of the uterus. 

Breast complications:

Mastitis:

- (breast tissue inflammation, fever signs, inflammation signs, pains).

- Treat with painkillers, antibacterial agents, and liberal expression of breasts

Breast engorgement:

- Worse, uncomfortable, overly full feeling of the breast

- Treat with breast compression, cold packs, and analgesia

Plugged milk ducts:

- Soft breast mass nodule, inflammatory change 

- Use moist heat, massage and frequent stripping. 

Nipple damage/infection

- Nipples cracking, bleeding and soreness

- Use topical creams/ointments, make sure breastfeeding well

Insufficient milk production 

- Insufficient breast milk to cater for baby’s needs

- Encourage lactation through skin-to-skin touch, fluids for both the mother and the infant, and lactation specialists.