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    Marcos Fdar Cesarean

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    Arian May Marcos
    1) A 26-year old female patient underwent a cesarean section under general anesthesia. Key steps of the procedure are summarized, including positioning, skin preparation, incision, delivery of the baby, and closure of the uterine incision. 2) Postoperatively, the patient was monitored in recovery with oxygen and vital signs checks. She was restricted to bed rest for 24 hours and other care measures like catheter removal and dressing changes were followed. 3) The patient tolerated the procedure well and showed no signs of infection or hemorrhaging in the postoperative period.

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    Marcos Fdar Cesarean

    Uploaded by

    Arian May Marcos
    4K views1 page
    1) A 26-year old female patient underwent a cesarean section under general anesthesia. Key steps of the procedure are summarized, including positioning, skin preparation, incision, delivery of the baby, and closure of the uterine incision. 2) Postoperatively, the patient was monitored in recovery with oxygen and vital signs checks. She was restricted to bed rest for 24 hours and other care measures like catheter removal and dressing changes were followed. 3) The patient tolerated the procedure well and showed no signs of infection or hemorrhaging in the postoperative period.

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    MARCOS_FDAR_CESAREAN

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    1) A 26-year old female patient underwent a cesarean section under general anesthesia. Key steps of the procedure are summarized, including positioning, skin preparation, incision, delivery of the baby, and closure of the uterine incision. 2) Postoperatively, the patient was monitored in recovery with oxygen and vital signs checks. She was restricted to bed rest for 24 hours and other care measures like catheter removal and dressing changes were followed. 3) The patient tolerated the procedure well and showed no signs of infection or hemorrhaging in the postoperative period.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    4K views1 page

    Marcos Fdar Cesarean

    Uploaded by

    Arian May Marcos
    1) A 26-year old female patient underwent a cesarean section under general anesthesia. Key steps of the procedure are summarized, including positioning, skin preparation, incision, delivery of the baby, and closure of the uterine incision. 2) Postoperatively, the patient was monitored in recovery with oxygen and vital signs checks. She was restricted to bed rest for 24 hours and other care measures like catheter removal and dressing changes were followed. 3) The patient tolerated the procedure well and showed no signs of infection or hemorrhaging in the postoperative period.

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    MARCOS, Arian May S.

    September 7, 2021
    BSN 3B-2D Ma’am Gloria Mercedes R. Calabson

    DATE/TIME FOCUS D (Data), A (Action), R (Response)


    09/07/2021 Pre- operative D> Into OR a 26 year old female per wheelchair accompanied
    9:00 pm Preparation-Cesarean by NOD,with an informed consent for surgery was signed and
    Section attached to chart, confirmed identity, site, and procedure.

    A> Ushered to OR table placed in supine position ; bolster was


    9:15 pm Anesthesia Induction positioned under the patient’s right hip to offset abdominal
    weight and thus reduce uterine pressure on the vena cava;
    safety strap was secured and foley catheter was inserted; blood
    pressure cuff, thermometer, ECG electrodes and a pulse
    oximeter were placed on the patient. initial vital signs taken as
    follows: BP 119/45 mmHg, CR 82bpm, RR 20cpm, SPO2
    100%

    A> Skin preparation solution was applied from midchest to the


    pubis and to the sides of the patient all the way down to the
    9:30 pm Skin preparation and operating room table as far as possible; and circulator shaved
    drapping the area with disposable clippers.

    A> The skin was incised via a midline vertical incision; skin
    and adipose tissue were retracted, incision was carried to the
    level of the fascia; posterior fascia was bluntly dissected from
    9:50 pm Operation started the rectus abdominus muscle and secured with two Kocher
    clamps; small transverse incision was made in the lower uterine
    segment and carried bilaterally with Lister bandage scissors;
    head was delivered by arching the baby’s torso toward the
    mother’s abdomen; umbilical cord was clamped with two
    Mayo clamps and then cut with Lister bandage scissors; and
    then neonate was then passed to the awaiting neonatal team.

    A> Uterine incision was closed in two layers using 0 synthetic


    absorbable suture; hemostasis was achieved by use of the
    electrosurgical unit; fallopian tubes and ovaries were placed
    back into the peritoneal cavity; paracolic gutters and cul-de-sac
    were cleaned of any remaining clots and blood; and lastly the
    abdomen was then closed
    10: 30 pm End of operation
    R> The patient tolerated the procedure well and was sent to
    recovery in stable condition.

    10: 45 pm

    DATE/TIME FOCUS D (Data), A (Action), R (Response)


    09/08/2021 Postoperative Care D> Patient received with two liters of oxygen, and vital signs
    2:00 am were monitored.

    8:00 am A> Patient was restricted to bed rest for the first 24 hours
    postoperatively; foley catheter was discontinued 24 hours
    following surgery; dressings were removed and changed 48
    hours after surger; prochlorperazine and metoclopramide was
    prescribed as needed for nausea; and meperidine was
    prescribed as needed for pain.

    R> Verbalized relief of discomfort. Able to nap during the


    10:00 am shift afterbreastfeeding the infant. No signs of infection and
    hemorrhagingnoted.

    Student Nurse: Marcos, Arian May

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