What are the nurse assessments for a patient having a emergency c-section ?

What are the nurse assessments for a patient having a emergency c-section ?

Preoperative Assessments

 Maternal Vital Signs:

 Blood Pressure: Intramuscular, changes in blood pressure due to particular personality such as hypertensive or hypotensive patients should be noted because it affects anaesthesia and surgery operations.

 Heart Rate: We also need to observe fluctuations in the rhythm; we can either face tachycardia or bradycardia, sometimes, this is connected with stress, sometimes, it indicates some certain conditions.

 Temperature: It should be within normal limits, should it not be, because it affects the occurrence of fever complications.

 Fetal Heart Rate:

 Monitoring: Oversleeping or constant monitoring of fetal stress or abnormal heart rate that may in turn prompt some action.

 Labor Progress:

 Cervical Dilation and Effacement: Identify the level and status of the completed labor also whether there is a problem with the labor.

 Contractions: control the speed and pressure of the contractions.

 Pain Assessment:

 Pain Level: Examine the resident’s pain level and if there is, administer any pain medication as may be required.

 Laboratory Tests:

 Blood Work: Ensure patient has had CBC, type cross match and any other tests that the patient may require.

 Consent and Education:

 Informed Consent: Determine whether the patient agreed to have the operation done, more so for the C-sections.

 Patient Education: s: Inform concerning the surgical procedure, possible complications and the care to be provided to the patient and or the family after surgery.

 Preoperative Preparation:

 Preoperative Medications: Take any prophylactic antibiotics, antacids or any other medicines that surgeon may advice you to take.

 Fasting Status: See that the patient has complied with the fasting rules that are usually a prerequisite before any investigation is done.

 Intraoperative Assessments

 Anesthesia Monitoring:

 Vital Signs: He/She should also be monitoring the patent’s magnetic vital signs during the surgery.

 Level of Consciousness: Tend to the patient, ensure that the patient is put to sleep so that the procedure is as smooth as could be.

 Surgical Site:

 Site Inspection: This area and any other problems or complications that may arise should be checked at the operation area.

 Fetal Monitoring:

 Heart Rate: The women should be supervised for fetal heart rate tracing throughout the session, so making a diagnosis of the status of the fetus can be made.

 Fluid Balance:

 Intravenous Fluids: Ensure that the patients intake and output balance do not arise to hypo or hyper hydration or any other complications.

 Postoperative Assessments

 Maternal Vital Signs:

 Blood Pressure, Heart Rate, Temperature: Use success rate for any sign of complication including bleeding or infection.

 Pain Management:

 Pain Assessment: Admit patient to the hospital to assess pain and to adjust the dosage, if required.

 Incision Site: Slap: increase wound dimensions, redness, swelling and foul smelling dehiscience; hematoma: any swelling over the closed surgical wound.

 Uterine Tone:

 Fundal Assessment: Light touching of the fundus to ensure that it has contracted well so as to prevent post partum hemorrhage.

 Lochia:

 Lochia Assessment: Protocol two: Monitor quantity, colour and nature of lochiae in order to identify and compare them with appropriate postnatal progress.

 Postoperative Bleeding:

 Assessment: Check increased amount of blood loss or foul smell as a complication of the process.

 Mobility and Activity:

 Early Ambulation: For: Encourage and assess early mobilization since this will assist in minimizing such contributors as formation of DVT.

 Breastfeeding Support:

 Lactation: Breast feeding should also be discussed and ensure that patient does know how to breast feed because if she had an emergency C-section she may need some assistance.

 Emotional Support:

 Mental Health: Give support and ask about PPD or PAT