Nursing and general anesthesiaIn preeclampsia patients for the Caesarean Section with Tubal Resection: Case study

Abstract

Case study Female patient aged 30 years, G3 P2 A0 L2, gestational age 36+3 weeks by LMP, EDC July 30, 2019 with headache, eyeball pain, dizzy, no pain in pregnancy No abnormal bleeding in the vagina. No limbs, weakness, swollen body, no seizures Feel the ball lower flex first, receiving blood pressure 214/140 mmHg, pulse 117 times/minute, breathing 20 times/minute T 36.5°C, body weight 127.7 kilograms, height 168 cm, BMI 45.245, laboratory results detected urine protein 3+ and There is 340 mg of protein in the urine in 24 hours. Severe preeclampsia is diagnosed and requires Caesarean Section with Tubal Resection.

The choice of anesthesia method depends on the urgency of cesarean section. State of mother and fetus the readiness and expertise of anesthetist personnel for this pregnant woman, general anesthesia is given to the patient to be unconscious. And include a trachea because children begin to have abnormal conditions Non-reassuring Fetal Heart rate Therefore, anesthetists must have knowledge and understanding about the condition of patients and infants and explain the need for anesthesia to patients and relatives. And must have expertise in thorough physical assessment. With choosing the right medicine and use equipment According to surveillance standards from the Royal College of Anesthetists of Thailand During the surgery, patients are closely monitored. Observe the response of patients to surgery Adjust the size of anesthesia to suit the patient Surveillance of systemic complications, emphasizing the importance of the safety of patients and infants Provide convenience to obstetricians to operate quickly and efficiently. Can make the patient undergoes a cesarean section, no serious complications are found, and the mother receives postoperative care through respiratory surveillance. Control blood pressure the amount of water that gives the amount of urine to see the amount of blood that comes out. Continue to provide magnesium sulfate after surgery after care during surgery. Taking care of pain medication and the patient can leave the recovery room to the postpartum ward.