Postpartum hemorrhage PDF

Preview

Summary

postpartum hemorrhage...

Description

Concept Mapping Deficient fluid volume related to excessive bleeding after birth

Define:

 

Nursing Assessment:

 

Assess the amount of bleeding. Assess maternal vital signs to establish baseline data. Assess for signs of shock. Assess the condition of the uterus

S & S: Medical Diagnosis:

Pathophysiology

M e d i c a t i o n s :

Due to pieces of placenta left in uterus, this causes the uterus to not contract.

Oxytocin Methylergonovine Misoprostol Carboprost tromethamine

Postpartum hemorrhage  Maternal blood pressure is higher than 100/60 mmHg.  Pulse rate is within the normal range of 60-100 beats per minute.  Flow of lochia is less than a saturated pad per hour

Lab Tests: Hgb and Hct PT Blood type crossmatch

Causes/Risk Factors: Nursing Considerations/ Patient Teaching: Firmly massage the uterine fundus Monitor vitals Assess for source of bleeding Assess bladder for distention Elevate pt’s legs to a 20 to 30 degree angle to increase circulation to essential organs Limit physical activity to conserve strength, to increase iron and protein intake to promote the rebuilding of RBC volume and to take iron with Vit C to enhance absorption

        

Uterine atony or HX of uterine atony Overdistended uterus Prolonged labor, oxytocininduced labor High parity Ruptured uterus Placenta previa, abruptio placentae Precipitous delivery Inversion of uterus DIC

Sources:

Concept Map NUR130...