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NURSING DIAGNOSES Ineffective health maintenance Impaired physical mobility313419NCLEX-RN_Chap06.

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Key treatments Anticonvulsants: phenytoin (Dilantin), carbamazepine(Tegretol), gabapentin (Neurontin), valproic acid, clonazepam(Klonopin) Surgical removal of demonstrated focal lesionKey interventions Keep the client safe during seizure activity.

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CAUSES Oxytocin (Pitocin) administration Abruptio placentae PolyhydramniosASSESSMENT FINDINGSChest painHypertensionCoughing with pink, frothy sputumCyanosisHemorrhageIncreasing restlessness and anxietyShock disproportionate to blood lossSudden dyspneaTachypneaFetal bradycardia Anticoagulant: heparin for DIC Vasopressor: dopamine Uterotonic: oxytocin (Pitocin) Activated factor VIIa for severe hemorrhageINTERVENTIONS AND RATIONALES Monitor and record vital signs to watch fortachycardia and tachypnea, which may indicate hypoxemia.

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