Meti HPS - Stannette

4.28
Using HPS
HPS
®
Stannette
Name, Age and
Gender
Stannette, 29-year-old female
History of
Present Illness
40-week intra-uterine pregnancy
Uncomplicated prenatal course
Past Medical
History
No known drug allergies
Denies tobacco, alcohol and IV drug use
Past Surgical/
Anesthetic
History
None
No family history of anesthetic problems
Review of
Systems
CNS: Negative for stroke, seizure syncope
Cardiovascular: Negative for hypertension, angina, dyspnea on exertion
Pulmonary: Negative for COPD, asthma, recent upper respiratory infection
Renal/Hepatic: Negative for renal failure, jaundice
Endocrine: Negative for diabetes, thyroid disease
Heme/Coag: Negative for anemia, bruising
Current
Medications
None
Physical
Examination
General: Term parturient
Weight, Height: 90 kg (pre-pregnancy weight was 70 kg), 5’8”
Vital Signs: HR 90 bpm, BP 104/73 mmHg, RR 16 br/min, SpO
2
98%
Neurologic: Intact; reflexes are hyperactive
Airway: No loose teeth. FROM neck, 3 fb oral opening, 3 fb mandible, MC 3
Lungs: BS clear and equal bilaterally
Heart: Regular rate and rhythm without murmur, rub or gallop
Abdomen: Term pregnancy with 40 cm fundal height, fetal heart rate 150s
Extremities: 1+ pretibial edema; pulses 2+ bilaterally
Laboratory,
Radiology and
Other Relevant
Studies
HCT: 34%
Electrolytes: Within normal limits
Chest x-ray: Clear
ECG: Normal sinus rhythm at 90 bpm, normal complexes