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Preeclampsia (45 min)

Preeclampsia (45 min)

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Outline

A 38-year-old female is 36 weeks pregnant and arrives to labor and delivery for a headache that won’t go away with acetaminophen. The nurse gets the patient’s vitals.

Critical Thinking Check

What else should the nurse ask?

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The nurse notes that the patient’s blood pressure is 156/98 mm hg and asks the patient “have you had any blurred vision, floaters or changes to that? Any sudden swelling, sudden weight gain? ”
The patient responds, “yes, I keep seeing floaters and have even thrown up from it. I do have some swelling and my upper abdomen has really been hurting. My head is really hurting.” The nurse goes to call the doctor. Nurse to Dr. “Hey Dr. Smith your patient, Maria Evans is here with some symptoms of preeclampsia. She has a BP of 156/98 mm hg, epigastric pain, bad headache, and some vision changes.

Critical Thinking Check

What do you expect the Dr. to order?

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Critical Thinking Check

Why did the doctor not order IV fluids?

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The nurse calls for help and nurses enter the room. They call the patient’s name, get fetal heart tones, apply oxygen, protect the patient. A nurse calls the doctor again and explains the patient is having seizure.

Critical Thinking Check

What is happening with this patient?

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Critical Thinking Check

What do you expect the provider to order?

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Debrief: This patient came in with symptoms of preeclampsia. Preeclampsia is elevated blood pressure about 140/90 (more than once), vision changes, edema, and epigastric pain. Preeclampsia always has protein in the urine, which was in the process of being checked. Eclampsia occurred when the seizure started. Magnesium sulfate is given to stop and prevent seizures. A side effect is lower BP. Labetalol is given to lower the blood pressure.

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Nursing Case Studies

This nursing case study course is designed to help nursing students build critical thinking.  Each case study was written by experienced nurses with first hand knowledge of the “real-world” disease process.  To help you increase your nursing clinical judgement (critical thinking), each case study includes answers laid out by Blooms Taxonomy  to help you see that you are progressing to clinical analysis.

We encourage you to read the case study and really through the “critical thinking checks” as this is where the real learning occurs.  If you get tripped up by a specific question, no worries, just dig into an associated lesson on the topic and reinforce your understanding.  In the end, that is what nursing case studies are all about – growing in your clinical judgement.

Course Lessons

Nursing Case Studies Introduction
Nursing Case Study Introduction
Cardiac Nursing Case Studies
Myocardial Infarction (MI) Case Study (45 min)
Heart Failure Case Study (45 min)
Hypovolemic Shock Case Study (OB sim) (60 min)
Septic Shock (Sepsis) Case Study (45 min)
Hypertensive Crisis Case Study (45 min)
Endocarditis Case Study (45 min)
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Cardiogenic Shock
GI/GU Nursing Case Studies
Acute Kidney Injury Case Study (60 min)
Peptic Ulcer Disease Case Study (60 min)
Inflammatory Bowel Disease Case Study (45 min)
Cirrhosis Case Study (45 min)
Urinary Tract Infection Case Study (45 min)
Nursing Case Study for Hepatitis
Nursing Case Study for Acute Kidney Injury
Obstetrics Nursing Case Studies
Ectopic Pregnancy Case Study (30 min)
Antepartum Testing Case Study (45 min)
Labor Progression Case Study (45 min)
Reyes Syndrome Case Study (Peds) (45 min)
Preeclampsia (45 min)
Disseminated Intravascular Coagulation Case Study (60 min)
Emergent Delivery (OB) (30 min)
Nursing Case Study for Maternal Newborn
Respiratory Nursing Case Studies
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
ARDS Case Study (60 min)
Chest Tube Management Case Study (60 min)
Tuberculosis (TB) Case Study (60 min)
Nursing Case Study for Pneumonia
Pediatrics Nursing Case Studies
Appendicitis Case Study (Peds) (30 min)
Nephrotic Syndrome Case Study (Peds) (45 min)
Fever Case Study (Pediatric) (30 min)
Varicella Case Study (Peds) (30 min)
Reyes Syndrome Case Study (Peds) (45 min)
Nursing Case Study for Pediatric Asthma
Neuro Nursing Case Studies
Cerebral Perfusion Pressure Case Study (60 min)
Encephalopathy Case Study (45 min)
Stroke Case Study (45 min)
Spinal Cord Injury Case Study (60 min)
Seizures Case Study (45 min)
Nursing Case Study for Head Injury
Mental Health Nursing Case Studies
Somatoform Disorder Case Study (30 min)
Alcohol Withdrawal Case Study (45 min)
Schizophrenia Case Study (45 min)
Nursing Case Study for Bipolar Disorder
Nursing Case Study for (PTSD) Post Traumatic Stress Disorder
Nursing Case Study for Mania (Manic Syndrome)
Metabolic/Endocrine Nursing Case Studies
Cushing’s Syndrome Case Study (60 min)
Diabetes Mellitus Case Study (45 min)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Hyperthyroidism Case Study (75 min)
Diabetes Insipidus Case Study (60 min)
Chronic Kidney Disease (CKD) Case Study (45 min)
Nursing Case Study for Type 1 Diabetes
Nursing Case Study for Diabetic Foot Ulcer
Nursing Care Plan (NCP) for Cushing’s Disease
Other Nursing Case Studies
Disseminated Intravascular Coagulation Case Study (60 min)
AIDS Case Study (45 min)
Leukemia Case Study (60 min)
Burn Injury Case Study (60 min)
Gout Case Study (45 min)
Nursing Case Study for Breast Cancer
Nursing Case Study for Colon Cancer
Nursing Case Study for Rheumatoid Arthritis