护理临床实习案例分析英语 .ppt

History * Third Trimester * Subsequent prenatal check-ups were regular as well as intake of multivitamins 1 tablet once a day, Ferrous sulfate 1 tablet once a day, and calcium 1 tablet twice a day. * Capillary blood glucose monitoring and 75g OGTT was done which revealed increased results. Exact values were unrecalled by the patient. She was prescribed with Novo Rapid insulin, 4 units taken 2 hours post meals. She was also advised to do capillary blood glucose monitoring at home. * Subjective complaints experienced included headache and dizziness. No hypogastric pain, abnormal vaginal discharge, vaginal spotting, dysuria, and fever. She denies any history of accidents, trauma, illness, or any exposure to radiation or toxic chemicals The present condition started 5 hours prior (5:00pm) to admission when the patient experienced crampy intermittent hypogastric pain radiating to the lower back with a pain scale of 8-9 out of 10. This was associated with scanty bloody vaginal discharge. She sought consult at our institution and was subsequently admitted. History * PAST MEDICAL HISTORY: The patient had usual childhood diseases such as mumps, measles, and chickenpox. She denies any history of major illnesses, trauma, accidents, or major operations. She was admitted last June due to persistent vomiting and dehydration. Patient has allergic rhinitis and was diagnosed with gestational diabetes last January maintained on Novo Rapid insulin 4 units taken 2 hours post meals. History * FAMILY HISTORY: Father: hypertension Mother: kidney stones, died due to cardiac arrest The patient is 3th among 5 siblings with 4 sisters and 1 brother. Her eldest is 33 years old who is a controlled hypertensive with gestational diabetes mellitus. Her second sibling is 32 years old with kidney stones. The 4th sibling is 29 years old who is a controlled hypertensive. The 5th sibling is 20 years old who is apparently well. History * PERSONAL AND SOCIAL HISTORY: Patient is a high-school g