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Sally Brown (Interventions (Assess and Manage Pain (Non-pharmacological…
Sally Brown
Interventions
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Monitor/assess respiratory status throughout labor, continuous pulse ox.
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If hemorrhage occurs use prostaglandin E1 or E2, continue to monitor respiratory status.
Avoid use of carboprost, ergonovine, methylergonovine which can cause bronchospasm
Monitor discharge throughout labor, looking for signs of painless bright red bleeding.
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Assess and Manage Pain
Non-pharmacological pain management: breathing exercises, exercises/movement, water therapy, massage
Pharmacological pain management such as Fentanyl. Avoid morphine and meperidine (histamine releasing and may exacerbate asthma)
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Concerns
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RhoGAM administered @ 28 weeks? #
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Nursing Diagnoses
Risk for hemorrhage r/t advanced maternal age, multiparity.
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