Nursing care for patients receiving anesthesia for cesarean section in patients with preeclampsia.

Abstract

     This case study aimed to examine nursing care for patients undergoing anesthesia for cesarean section delivery in patients with preeclampsia. The study included a 32-year-old Thai woman admitted for delivery in January 2025. Data were collected from medical records and analyzed descriptively.

     The study found that the initial diagnosis was severe preeclampsia. SET OR performed lower transverse caesarean section with tubal resection in emergency. The initial assessment of the patient was ASA physical status 3E: underlying severe preeclampsia, smoking, pregnancy alcohol drinking, drug abuse. The patient was taken to the operating room and put under general anesthesia. The surgery took 2 hours. Total blood loss was 800 ml. During the surgery, Transamine 1 g v and Cytotec 4t vg. were given to help with uterine coagulation. 800 ml of fluid replacement was given. No hypotension occurred during the surgery. The endotracheal tube could be removed after the surgery. Postoperative patient care in the PACU room showed spo2 = 94-95%. Crepitation was observed in both lungs when auscultated. The doctor reported to inject Beradual NB. After injecting the medication, the lungs were cleared with spo2 = 99%. The patient was sent back to the delivery room. This patient spent 5 days in the hospital receiving treatment with Lasix 40 mg v q hr, recorded I/O until he was able to be discharged home without any symptoms of shortness of breath. His child was intubated and transferred to Phra Narai Hospital due to shortness of breath.