Internal monitoring may be used when external monitoring of the fetal heart rate is inadequate, or closer surveillance is needed. (15) It’s also an ultrasound based technology, the monitoring is done during pregnancy, labor, and delivery to keep track of the heart rate of your baby (fetus) and the strength and duration of the contractions of your uterus. (16) This is not always a benefit for women and their families. (3) CTG machine provides graphical printed data. On the graph, there are two lines.
Von Hippel-Lindau (VHL) syndrome is characterized by hemangioblastomas involving the brain, spinal cord and cystic lesions of intra-abdominal organs such as the liver, kidney and pancreas.1 To our knowledge there have been no reports of these lesions involving the airway. Presence of cystic lesions in the airway could result in an unanticipated difficult airway. Inadvertent injury to a vascular epiglottic cyst resulting in airway bleeding is a dreaded complication that makes a difficult airway even more difficult to secure. CASE REPORT Our patient, a 43 years old gentleman, a diagnosed case of VHL syndrome, presented with headache, giddiness and gait unsteadiness. He was previously operated upon twice for cerebellar hemangioblastomas.
Pregnancy outcome: Few studies have reported that nausea and vomiting in pregnancy is associated with favourable pregnancy outcome8-10. An interesting study conducted by group of investigators in 411 pregnant women about the pattern of nausea and vomiting its pregnancy outcome showed that women without nausea and vomiting had a greater proportion of non viable fetus and low birth weight infants than those who had vomiting 8. HG is said to be associated with low birthweight (LBW), preterm birth (PTB), small-forgestational-age (SGA), perinatal death and prolonged hospitalization for the new-born infant 126-129. A recent meta-analysis on hyperemesis gravidaruam and pregnancy outcomes, comprising of 13 case–control studies, 10 cohort studies and
914). Apply an external fetal heart rate monitor and tocodynamometer to monitor the fetal heart rate pattern and uterine contractions. Obtain a complete blood count, type & crossmatch and coagulation profile in case blood transfusion is needed (Carpenito, 2016, p. 915). Assess the mother for bleeding every 15 minutes. Note characteristics, odor and weigh peri pads to quantify blood loss.
The level of worthlessness and guilt Helen had was bad that she chose to move out and stay with Matilda. The sixth symptom seen in the movie as mentioned in the DSM-5 is “Recurrent thought of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or s specific plan for committing suicide” (Butcher, Hooley & Mineka, 2014). In the movie, Helen had two attempted suicides, the first was when she tried to stab herself with a knife and the second time by overdosing. Criteria B of Major Depressive Disorder states that “the symptoms cause clinically significant distress or impairment in social, occupational or other important areas of functioning” (Butcher, Hooley & Mineka, 2014). From the symptoms mentioned above we see that Helen’ social, occupational and other necessary functioning areas of her life were drastically
A nursing assessment can address the severity of symptoms by obtaining a complete physical and mental background. They will check the mouth, nose, and throat looking for enlarged tonsils, or a droopy soft palate, and inquire about a patients typical sleeping behaviors, bedtime routines, alcohol use, and smoking habits will be addressed. Measurements such as weight, height, pulse, and blood pressure will be taken, in order to determine if pulmonary hypertension is occurring. Family members can further provide the nurse descriptions of the nightly behavior they have seen firsthand. If symptoms of OSA can be determined, a referral to a sleep specialist is the next step in diagnosing the patients’ severity levels of sleep
The reason why I decided this is because Helen has many symptoms of some disorders. She is overweight maybe due to the fact that her appetite changes, she has low mood and difficulties with sleep, symptoms which indicate depression. Also, has significant anxiety, occasional panic attacks and avoids eye contact. The best options of assessment scales are the “Beck Depression Inventory” and the “Beck Anxiety Inventory”. Based on the results I will get, I will apply the necessary
This topic is extremely important because it is observed clinically that the depression during pregnancy bears lethal consequences not only for the depressed mother but also for the child. It drives up the risks of complications for both (Sharps, 2012). Some of the most common observed problems are the abnormal or disrupted fetal development, premature birth of the child, preeclampsia and even abortion. Why I chose this
5) Fetal monitors: These are used to measure the ability of the fetus to compensate for the lack of oxygen available during contractions as this varies for every fetus. It helps in detecting fetal distress and indicates if any necessary medical intervention is needed. 6) Pulse Oximeters: Monitors the oxygen saturation of a person. The sensors detect how much oxygen is in your blood and the technology calculates the results to display a number on the screen. Its mainly used for patients with asthma and congestive heart failure.