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Chorioamnionitis (Picmonic)
Chorioamnionitis (Image)
Causes of Chorioamnionitis (Mnemonic)
Example Care Plan_Chorioamnionitis (Cheat Sheet)
Blank Nursing Care Plan_CS (Cheat Sheet)
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Hey everyone today, we're going to be putting together a nursing care plan for Chorioamnionitis. So let's get started. First, we're going to go over the pathophysiology. Chorioamnionitis is a bacterial infection of the membranes, amnion and chorion, and the amniotic fluid surrounding a fetus within the uterus. Nursing considerations. We're going to monitor maternal vital signs, fetal heart rate, diagnostic tests, administer medications, promote rest, and prepare the patient for delivery. Desired outcome. The patient, the mother, and the fetus will be free from infection prevention of complications or fetal infection.
So we're going to go ahead and get started on writing out our care plan. We're going to have some subjective data and some objective data. So what are we going to see with the patient that has Chorioamnionitis? Some subjective data would be some abdominal tenderness, fever, maybe some vaginal discharge. Some other things that we may see are tachycardia and maybe a bad smell from that amniotic fluid.
Nursing interventions. We want to monitor the maternal vital signs. We're going to be looking for fever. So they could be tachycardic; it may indicate infection for them. Symptoms are similar to other diseases and must be monitored closely to prevent any sort of development of complications. Another intervention we're going to be doing is monitoring the fetal heart rate. Elevated fetal heart rate indicates a sign of distress. If the fetal heart rate increases in the mother, we're going to assess the mother for signs of infection. So another invention we're going to be doing is we're going to be monitoring diagnostic test results, including white blood cell count and a urinalysis. So some patients may be asymptomatic, but they may have bacteria in the urine with an elevated white blood count. It may indicate infection, but it's also a common occurrence during labor and delivery. We're going to assess and culture vaginal discharge. So if they're having vaginal discharge, we're going to do a culture. Some STDs and GBS may be the bacterial cause of Chorioamnionitis. You want to make sure you're noting the color, the odor, the consistency of any discharge and culture to determine the appropriate course of treatment. We want to verify any allergies and administer any medications as necessary. So we're going to be giving medication, such as antibiotics and antipyretics, depending on the cause of the infection. Antibiotics may include penicillin and erythromycin; antipyretics are going to be given for the fever, such as acetaminophen. If a patient is in labor, we want to administer medications via IV route, if appropriate. Make sure you assess for allergies prior to administering any sort of medication. We want to make sure that we're promoting rest. We want to encourage the patient to rest as much as possible to promote healing and reduce fetal distress. Sofor fetal distress, we're going to prepare the patient for vaginal or C-section delivery. Advanced infection may require an early termination of the pregnancy. So depending on the gestational age, patients may have an induced labor or a C-section to prevent complications and fetal infection.
So we're going to go over the key points here. So a bacterial infection of the membranes, amnion and chorion, and the amniotic fluid surrounding the fetus within the uterus. It is caused by group B strep and GBS. Some subjective objective data that you're going to see with these patients: abdominal, uterine tenderness, fever, vaginal discharge, diaphoresis tachycardia, bad smell from the amniotic fluid. We're going to monitor the maternal vital signs, fetal heart rate, do diagnostic testing, assess, and culture vaginal discharge. Administer medications, make sure we're promoting rest, and that we're preparing for delivery if an advanced infection is present. And there we have that completed care for you guys.
We love ya. Go out, be your best self today, and as always happy nursing.
So we're going to go ahead and get started on writing out our care plan. We're going to have some subjective data and some objective data. So what are we going to see with the patient that has Chorioamnionitis? Some subjective data would be some abdominal tenderness, fever, maybe some vaginal discharge. Some other things that we may see are tachycardia and maybe a bad smell from that amniotic fluid.
Nursing interventions. We want to monitor the maternal vital signs. We're going to be looking for fever. So they could be tachycardic; it may indicate infection for them. Symptoms are similar to other diseases and must be monitored closely to prevent any sort of development of complications. Another intervention we're going to be doing is monitoring the fetal heart rate. Elevated fetal heart rate indicates a sign of distress. If the fetal heart rate increases in the mother, we're going to assess the mother for signs of infection. So another invention we're going to be doing is we're going to be monitoring diagnostic test results, including white blood cell count and a urinalysis. So some patients may be asymptomatic, but they may have bacteria in the urine with an elevated white blood count. It may indicate infection, but it's also a common occurrence during labor and delivery. We're going to assess and culture vaginal discharge. So if they're having vaginal discharge, we're going to do a culture. Some STDs and GBS may be the bacterial cause of Chorioamnionitis. You want to make sure you're noting the color, the odor, the consistency of any discharge and culture to determine the appropriate course of treatment. We want to verify any allergies and administer any medications as necessary. So we're going to be giving medication, such as antibiotics and antipyretics, depending on the cause of the infection. Antibiotics may include penicillin and erythromycin; antipyretics are going to be given for the fever, such as acetaminophen. If a patient is in labor, we want to administer medications via IV route, if appropriate. Make sure you assess for allergies prior to administering any sort of medication. We want to make sure that we're promoting rest. We want to encourage the patient to rest as much as possible to promote healing and reduce fetal distress. Sofor fetal distress, we're going to prepare the patient for vaginal or C-section delivery. Advanced infection may require an early termination of the pregnancy. So depending on the gestational age, patients may have an induced labor or a C-section to prevent complications and fetal infection.
So we're going to go over the key points here. So a bacterial infection of the membranes, amnion and chorion, and the amniotic fluid surrounding the fetus within the uterus. It is caused by group B strep and GBS. Some subjective objective data that you're going to see with these patients: abdominal, uterine tenderness, fever, vaginal discharge, diaphoresis tachycardia, bad smell from the amniotic fluid. We're going to monitor the maternal vital signs, fetal heart rate, do diagnostic testing, assess, and culture vaginal discharge. Administer medications, make sure we're promoting rest, and that we're preparing for delivery if an advanced infection is present. And there we have that completed care for you guys.
We love ya. Go out, be your best self today, and as always happy nursing.
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