My documented care provided for Ms. Brenda Patton from admission, notification of the provider, and administration of antibiotics.
a. S: I am Sylvia Maduagwu. The nurse in charge of Ms. Patton’s care. She was admitted due to ruptured membrane and labor assessment. She is currently receiving penicillin 5000000IU IVPB per providers order because of active infection of group B streptococcus.
Group B Streptococcal infection is harmless to adults, but can cause dangerous harm to newborns, and adults who suffer chronic diseases. Silvestri & in Silvestri, 2017, found the following on GBS:
GBS is a leading cause of life-threatening perinatal infections. The gram positive bacterium colonizes the rectum, vagina, cervix, and urethra of pregnant and non-pregnant women. Meningitis, fasciitis, and intraabdominal abscess can occur in the pregnant client if she is infected at the time of birth. Transmission occur during vaginal delivery. Early-onset newborn …show more content…
B: Ms. Patton is an 18-year-old Caucasian G1PO at 38 2/7 weeks of gestation. Admitted on 1/19/2018 at 0300, for labor assessment, -she wishes for a natural birth. Patient was assessed at 0320, all vital signs were normal. She was put on continuous monitoring of the fetus, and Dr. DeFrame was notified at 0340. While waiting for Physician’s arrival, I educated patient on GBS and its effects on newborns. Dr. DeFrame arrived at 0400. Dr. DeFrame arrived at 0400, at ordered to initiate intrapartum prophylaxis for group B Strep disease with penicillin 5 million IU IVPB stat, and 2.5 million
c. IU IVPB Q4hr until delivery. Promethazine 12.5 IVPB Q4hr PRN for nausea, and Lactated ringer’s 500ml IV bolus. I administered penicillin at 0420, monitored patient for 10 minutes for any reactions. Promethazine and Lactated Ringer’s 500ml were administered at 0440, and at 0500, patient was assessed for medication reactions. She is on continuous delivery of 10L/min per non-rebreather mask of oxygen for non-reassuring fetal heart
a. S: I am Sylvia Maduagwu. The nurse in charge of Ms. Patton’s care. She was admitted due to ruptured membrane and labor assessment. She is currently receiving penicillin 5000000IU IVPB per providers order because of active infection of group B streptococcus.
Group B Streptococcal infection is harmless to adults, but can cause dangerous harm to newborns, and adults who suffer chronic diseases. Silvestri & in Silvestri, 2017, found the following on GBS:
GBS is a leading cause of life-threatening perinatal infections. The gram positive bacterium colonizes the rectum, vagina, cervix, and urethra of pregnant and non-pregnant women. Meningitis, fasciitis, and intraabdominal abscess can occur in the pregnant client if she is infected at the time of birth. Transmission occur during vaginal delivery. Early-onset newborn …show more content…
B: Ms. Patton is an 18-year-old Caucasian G1PO at 38 2/7 weeks of gestation. Admitted on 1/19/2018 at 0300, for labor assessment, -she wishes for a natural birth. Patient was assessed at 0320, all vital signs were normal. She was put on continuous monitoring of the fetus, and Dr. DeFrame was notified at 0340. While waiting for Physician’s arrival, I educated patient on GBS and its effects on newborns. Dr. DeFrame arrived at 0400. Dr. DeFrame arrived at 0400, at ordered to initiate intrapartum prophylaxis for group B Strep disease with penicillin 5 million IU IVPB stat, and 2.5 million
c. IU IVPB Q4hr until delivery. Promethazine 12.5 IVPB Q4hr PRN for nausea, and Lactated ringer’s 500ml IV bolus. I administered penicillin at 0420, monitored patient for 10 minutes for any reactions. Promethazine and Lactated Ringer’s 500ml were administered at 0440, and at 0500, patient was assessed for medication reactions. She is on continuous delivery of 10L/min per non-rebreather mask of oxygen for non-reassuring fetal heart