bleeding_case_study - Bleeding Case Study Bleeding Case...

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Bleeding Case Study Bleeding Case Study Scenario You are working as the triage nurse in the emergency department (ED) at a busy tertiary care center. A woman comes in complaining of (C/O) very heavy vaginal bleeding and extreme pain. S.K. is single, is 47 years of age, and has been bleeding for 24 hours, soaking a pad an hour. She thinks her last menstrual period (LMP) was 2 months ago, but they have been irregular and she isn’t sure. She has had some spotting during the past 6 months and is afraid of the amount of bleeding in the past 24 hours. She works in a law firm as a paralegal and was embarrassed yesterday when she leaked around her pad and stained a chair in the conference room. She has 2 sexual partners currently and has 2 children from a previous marriage. 1. Identify three conditions that would require emergency care and could prove life-threatening. The severe bleeding could possibly be severe menorrhagia or it could be an ectopic pregnancy. If the bleeding continues, S.K. could go into hypovolemic shock. If emergency care is not sought out and is left untreated, the ectopic pregnancy and hypovolemic shock could be fatal. Case Study Progress You determine that S.K. is stable at the present level of bleeding; her vital signs (VS) are 110/68 mm Hg, 88 beats/min, and 22 resp/min. She is not diaphoretic or pale. Her blood loss, although significant, does not have the same presentation as hemorrhage with imminent hypovolemic shock. 2. She looks horrified and asks you, “Could I be pregnant?” How should you respond? We should ask her about her previous sexual encounters and if they used protection or if she is on some type of contraceptive. We should let her know that there could be a possibility that she may be pregnant, and a pregnancy test will be done to find out for sure.
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3. S.K. reports she hasn’t been using birth control because she has sex so rarely. She wants to know if a urine pregnancy test would tell her whether she is pregnant. Provide information about a urine pregnancy test.
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