Jittery Case Studies

A.H is a twenty-seven-year-old Arabic speaking mother who was admitted October 4, 2015 for fetus delivery. Gestation at this time was 40 weeks and one day. Her last menstrual period was December 30, 2014. Her Gravida ( G), Term births (T), Preterm Birth ( P), Abortions (A) and Living children (L) is 2/2/0/0/2. She gave birth to R.H, a beautiful baby girl, October 5, 2015 at 0817. R.H was 7 pounds, 15 ounces and 20 inches long. She had a normal spontaneous vaginal delivery. The baby was a normal full-term weight. Stage I lasted a total of 1.92 hours with no significant complications. Stage II lasted 37 minutes with no complications. The placenta was noted to have a Two-vessel cord. She is married at this time and her husband is supportive.

The normal glucose is 30- 90. The baby result was 54. This lab result was normal and was done because the baby was jittery at birth. Signs of hypoglycemia in a newborn are jitteriness and hypothermia. The baby also had a normal temperature but it was on the lower end of normal. To maintain thermoregulation, the nurse encouraged skin to skin and added additional blankets. The baby also got her temperature check every 2 hours. The baby bilirubin levels were also drawn. The normal bilirubin is 0.3-1.9. The baby bilirubin was 0.4. This test was normal and was done to check for jaundice. Many babies will have their hearing tested and a newborn screening tool done before leaving the hospital. The tests are simple and painless and take only a few minutes. The baby hearing test and newborn screen came back within normal

This medication works with emulsifying and wetting properties. The classification is a gastrointestinal agent and stool softener ( Medication packet, 2015). This medication allows stools for easier passage by soften stools. Some side effects are mild abdominal cramps, diarrhea, nausea, throat irritation and rash (Medication packet, 2015). There are not any labs to monitor unless the patient experience diarrhea and then we will have to monitor the electrolytes. The nurse should monitor effectiveness after first dose. The patient should take sufficient water with dose and continue fluid intake. The patient should only take this medication after she has tried non- pharmacological techniques to inhibit a bowel movement. The patient can try exercise, increase intake of fluids and fiber.
The patient is also taking dermoplast (Benzocaine) 1 spray topical as needed to relief pain/ discomfort due to hemorrhoids episiotomy or perineal laceration. This works by inhibiting conduction of nerve impulses forms sensory nerve endings ( Medication Packet, 2015). Some side effects are allergic reactions and sensitization to drug ( Medication packet, 2015). The nurse should assess the signs and symptoms of sensitivity. The patient should use this medication as prescribed and consult with the physician if symptoms does not