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Discussion

Need some help with care plan OB rotation

Hello everyone! I am stuck in regards to my care plan! This past week was my first week of OB rotation....I will give you a litle back ground info on my patient. She had a planned c-section (had 2 others in the past)....and also had a tubal ligation after c-section. Patient ended up getting 2 units PRBC the day after her section for a HCT of 19.5. After the transfusion her Hct was 24.4...and Hgb 8.4. The following day her Hct was 22.4 and Hgb 7.6...so her received another unit. The day I took care of the patient was 3 days post c-section and she was discharged only 5 hours after I started to take care of her. I can't quite put my brain around what nursing diagnosis to come up with in regards to the post c-section bleeding that lead to the transfusions....but of course can easily come of with Risk for infection d/t incision from the c-section, etc. Anyone help would be greatly appreciated!!!!

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losing that much blood can put her at risk for anemia.

some possible diagnoses:

risk for delayed surgical recovery rt blood loss

delayed surgical recovery rt decreased oxygen supply to body, increased cardiac workload

fatigue rt decreased oxygen supply to the body, increased cardiac workload

She is anemic for sure. Normal Hgb levels for an adult female are 12-16 and normal Hct levels for an adult female are 37-48.

Like you guys already said, your solid diagnoses will include fatigue, delayed healing and delayed surgical healing.

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