Case report on post-operative case of exploratory laparotomy for ruptured ectopic pregnancy with septicemia.

Abstract

Miscarriage is a spontaneous natural loss of an embryo or fetus before it is able to survive independently. Abdominal discomfort and vaginal bleeding are common signs and symptoms, but only around half of the women who are affected have both. Sharp, dull, or cramping pains may be experienced. If there is bleeding into the abdomen, the pain may travel to the shoulder. A rapid heart rate, fainting, or shock may occur as a result of severe bleeding. The fetus, with very few exceptions, is unable to live. Obstetricians and gynecologists will notice a few differences in how Jehovah's Witnesses handle emergencies.

Main symptoms and/or important clinical findings:

She is case of 20 years old with post operative case of Exploratory Laparotomy. For Ruptured Ectopic Pregnancy  with septicemia, she was operated on 14/02/2021emergency exploratory Laparotomy under GA . Her diagnostic Ultrasonography done. Complete blood investigation done. She was relatively asymptomatic before 8 days  she was primigravida with 2 months of gestation  then she developed pain in abdomen in which was  increasing in intensity with passing time.

The main diagnoses, therapeutic interventions, and outcomes:

She  is  case of 20 years old with post-operative case of Ruptured Ectopic Pregnancy operated  case of  Exploratory Laparotomy For with septicemia, with complaint  of acute abdominal pain,Treatment began on the day of admission I V fluids ,Antibiotics Injectables. Started ,advised for Zonac suppository PR .all necessary investigation done. Therapeutic intervention advice for TPR Charting, I/O Charting , abdominal drain charting ,.

Nursing Perspectives:Patients fluid replacement.monitered vital sign per hourly.checked blood glucose levels.give the medication as order by doctor Ie., Inj .Meropenem-1 gm, Inj. Metro, Inj. Pan-40mg , Inj. Tramdol in IV Fluid ,Inj. Pause -500mg avice for Zonac suppository Per rectal  at evening. Maintained TPR Chart, I/O Charting , abdominal drain charting . After operation on 2nd day allow to  Liquid Diet .

Conclusion:

Present case the patient of  20 year old female with post-operative case exploratory laparotomy  for  ruptured ectopic pregnancy with  septicemia and ,their symptoms such as abdominal pain reduced with  proper treatment ,now patient in good condition then  patient has discharged on dated 22/2/21.