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Care Plan : Pregnancy Induced Hypertension (PIH)

Patient Conference Report

History of events leading to admission: This is a 46 y/o female that was admitted to Brandon Hospital. She is 28 weeks gestation with twins.
Medical diagnosis: Pregnancy Induced Hypertension

Past Medical History: Seizure disorder for which she takes Lamictal, infertility, 2nd. Invitro with twins, she has a sinus infection.
Past Surgical History: Laparoscopy for endometriosis X3, surgery for broken jaw, tonsillectomy,
Pertinent Lab Results: Most recent labs done 2/22/15, (CBC) NA+ 156, BUN- 28, Albumin- 8.0, Protein- 10.0, Creatinine- 1.3,
Pertinent diagnostic results: Chest X-ray: pulmonary edema and cardiomegaly, cardiac catheterization, EKG: atrial fibrillation.

Lists of Medications: Amoxicillin, Docosate sodium, Labetalol HCL, Lamotrigine (lamictal).
Allergies: Macrobid

Code status: Full code

Vital Signs: T 99.2F, oral P 80, regular B/P 186/100 SaO2 100% Weight- 160lbs. Ht. 5’5

List 3 pertinent medications given by you on your shift. List actions and indications, side effects, and nursing considerations:

|Name: |Amoxicillin |
|Action and indications. |Binds to bacterial cell wall, causing cell death, spectrum of amoxicillin is broader than penicillin. Treatment of a variety of infections including skin and skin structure |
| |infections, otitis media, sinusitis, respiratory tract infections, genitourinary infections. |
|Side Effects: |Seizures, pseudomemgranous colitis, diarrhea, hepatic dysfunction, nausea, vomiting,

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