Managing Care For A Patient With Lower Uterine Caesarean Essay Paper

Managing Care For A Patient Following Lower Uterine Caesarean Section Under Spinal Anesthesia

Candace Evans is a 42 year woman admitted to the operating theatre at 38 weeks gestation for an elective lower uterine caesarean section (LUCS) under spinal anesthesia. The patient has been diagnosed with Placenta Previa.

  • Current History: Second pregnancy, 38 weeks gestation;
  • Past History: Gestational diabetes with her first pregnancy 5 years ago, which resolved following the birth with no recurrence in this pregnancy, depression, anxiety, post-natal depression.

You are working in the post anaesthetic recovery room (PACU) on a morning shift and will receive Candace following her LUCS. Candace arrives in the PACU, following the uneventful birth of a male infant via LUSC with APGARS of 8 at 1minute and 10 at 5 minutes following birth. Intraoperative blood loss was estimated at 150ml.

  • Dermatome level T3;
  • Pain 0/10;
  • Lower uterine dressing dry and intact;
  • In-dwelling catheter with 100ml of rose coloured urine;
  • Intravenous therapy of Oxytocin in CSL running at 250mL/hour;
  • Vital Signs: HR 88, BP 104/76, SpO297% on RA, Temp 36.9° Celsius.
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