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THE NURSING ROLE DURING COMPLICATION OF PREGNANCY.docx

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THE NURSING ROLE DURING COMPLICATION OF PREGNANCY, BIRTH OR THE POSTPARTAL PERIOD WOMAN W/ THALASSEMIA Thalassemia Folic acid supplementation and blood transfusion Malaria 12-14 days Fever, malaise, and headache Thrombocytopenia, anemia, and renal failure Wearing clothes, insect repellant, mosquito nets, keeping windows closed Chloroquine Sulfadoxine pyremethamine Quinine, malarone, tetracycline Anti-malarial therapy WOMAN W/ SEVERE ACUTE RESPIRATORY SYNDROME (SARS) Decreased lymphocytes and pl
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  THE NURSING ROLE DURING COMPLICATION OF PREGNANCY, BIRTH OR THE POSTPARTAL PERIOD WOMAN W/ THALASSEMIA Are group of autosomal recessively inherited blood disorders that lead to poor hemoglobin formation and severe anemia. Thalassemia *Occur most frequently in Mediterranean, African, and Asian populations. *symptoms first appear on childhood Folic acid supplementation and blood transfusion Treatment for causes on combating anemia such as_. Malaria -It is a protozoan infection transmitted to people by Anopheles mosquitos. -The infection causes red blood cells to stick to the surfaces of the capillaries causing obstruction to the vessels. -This can result in organ anoxia when blood cannot reach to the organs.  12-14 days Incubation period for most occurring type. Fever, malaise, and headache Most noticeable symptoms in malaria. Thrombocytopenia, anemia, and renal failure If not treated,_ may occur. Wearing clothes, insect repellant, mosquito nets, keeping windows closed Prevention of malaria. Chloroquine Drug of choice during pregnancy for treatment of malaria. Sulfadoxine pyremethamine It may be administered during the last trimester. Quinine, malarone, tetracycline Should not be used at any point of pregnancy or with woman who are breastfeeding. Anti-malarial therapy May reduce the incidence of low birth weight and preterm birth. WOMAN W/ SEVERE  ACUTE RESPIRATORY SYNDROME (SARS) It is a newly emerged infectious disease with the clinical symptoms of persistent chills, muscle aches, malaise, dry cough, headache, and dyspnea. Decreased lymphocytes and platelet count Common laboratory findings for SARS. Coronavirus It has been identified as the pathogen responsible for the illness, which appears to be srcinated from CHINA. Droplet transmission SARS spreads by close person-to-person contact via_. 2-10 days Incubation period of SARS. Intravenous antibiotics Therapy is vigorous with_. Spontaneous miscarriage, preterm birth, intrauterine growth restriction. SARS during pregnancy creates such an illness that is associated with high incidence of_.  A WOMAN WITH  ASTHMA it is a disorder marked by reversible airflow obstruction, airway hyperreactivity, and airway inflammation. inhaled allergen, such as pollen and cigarette Symptoms of asthma. Asthma Potential of reducing the oxygen supply to a fetus leading to preterm birth or fetal growth restriction. Inhaled corticosteroid beclomethasone and budesonide Are commonly used by woman with persistent asthma Terbutaline, albuterol Beta-adrenergic agonists may be taken safely during pregnancy.   A WOMAN WITH TUBERCULOSIS It is a disease that should have been eradicated in view of the effective treatment available. It is one of the leading causes of death. Mycobacterium tuberculosis Lung tissue is invaded by_, an acid fast bacillus. Mantoux test Positive response to_ Chronic cough Weight loss Hemoptysis Night sweats Low grade Symptoms of TB.  A WOMAN WITH COPD Is the constriction of airways associated most often with long-term cigarette smoking. 35-40 years of age of pregnancy  A WOMAN WITH CYSTIC FIBROSIS It is a recessively inherited disease in which there is generalized dysfunction of the exocrine glands. Dysfunction leads to mucous secretions, particularly in pancreas and lungs. Sterile Men with cystic fibrosis are_ because of their semen is so thick that sperm cannot be motile. Lessened Fertility may be_ in women with the disorder because sperm cannot migrate through viscid cervical mucous. Chronic respiratory infection and overinflation Person with disease may develop symptoms with_. Pancrelipase(pancrease) Therapy to illness consists of_, to supplement pancreatic enzymes. RHEUMATIC DISORDERS AND PREGNANCY  A WOMAN WITH RHEUMATOID  ARTHRITIS (Juvenile rheumatoid arthritis), a disease of connective with joint inflammation of contracture, is most likely the result of an auto immune response. Synovial membrane destruction. Corticosteroids and non-steroidal anti-inflammatory drugs(NSAIDS) DRUGS to prevent joint pain and loss of mobility. Salicylates Large amounts of_ may lead to increased bleeding at birth or prolonged pregnancy.  A WOMAN WITHSYSTEMIC LUPUS ERYTHEMATOSUS (SLE) it is a multisystem chronic disease of connective tissue that can occur with woman of childbearing age. Widespread degeneration of connective tissue especially the heart, kidneys, blood vessels, spleen, skin, and retroperitoneal tissue) GASTROINTESTINAL DISORDERS AND PREGNANCY  A WOMAN WITH  APPENDICITIS It is the inflammation of the appendix. Sharp, peristaltic lower right quadrant pain of acute appendicitis.  A WOMAN WITH GASTROESOPHAGEAL REFLUX DISEASE OR HIATAL HERNIA (GERD) refers to the reflux of the acid stomach secretions into the esophagus. Hiatal hernia It is a condition in which portion of the stomach extends and protrudes up to the diaphragm into the chest cavity, trapping the stomach acid and causing it to reflux into the esophagus. Heartburn Gastric regurgitation Dysphagia Possible weight loss Hematemesis(vomiting Symptoms include:  of blood Antacids In most women, will relieve the pain  A WOMAN WITH CHOLECYSTISIS AND CHOLELITHIASIS Gall bladder inflammation(Cholecystisis) gallstone formation(Cholelithiasis) These are frequently associated with women older than 40, obesity multiparity, and ingestion of high-fat diet. constant aching and pressure in the right epigastrium, with  jaundice Symptoms are: Cholesterol Gallstones are formed from_.  A WOMAN WITH PANCREATITIS Inflammation of the pancreas. WOMAN WITH HEPATITIS It is a liver disease that may occur from invasion of the A,B,C,D, and E virus. Hepatitis A Spread mainly by fecal-oral contact. 2-6 weeks Incubation period. Prophylactic gamma globulin Prevent disease after exposure. Hepatitis B and C These are spread by exposure to contaminated blood or blood products. Hepatitis D and E Spread as the same as hepatitis B but rare in pregnant women.
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