System Disorder-Postpartum Hemorrhage PDF

Preview

Summary

ATI- Postpartum Hemorrhage...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

Rios ST UDENT NAME Glorimar _____________________________________ Postpartum Hemorrhage DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) Postpartum Hemorrhage

Pathophysiology Related to Client Problem Uterine atony, trauma, retained placenta fragments, coagulopathy

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Postpartum medications reduce the amount of blood loss.

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Uterine atony, overdistende uterus, prolonged labor, oxytocin induced labor, high parity, ruptured uterus, pregnancy complications, lacerations, hematomas

Laboratory Tests

Uterine atony, blood clots larger then a quarter, perineal pad saturation in 15 min or less, tachycardia, hypotension, pallor

Diagnostic Procedures

Hgb and HCT, coagulation profile (PT), Blood type and crossmatch

Estimation of blood loss

PATIENT-CENTERED CARE

Nursing Care Firmly massage the uterine fundus, assess vitals, assess source of bleeding

Therapeutic Procedures Massage fundus administer medications

ACTIVE LEARNING TEMPLATES

Standard precautions including washing hands before and after interacting with patient. Fall precautions

Complications Medications Oxytocin Methylergonevi ne Misoprostol Carboprost Thromethamine

Client Education Limit physical activity to conserve strength and to increase iron and protein to promote rebuilding RBC, take iron with vitamin C to enhance absorption.

Uterine perforation Uterine synechiae urinary tract injury hypovolemic shock Anemia

Interprofessional Care Nurse, primary care provider, pharmacy

THERAPEUTIC PROCEDURE

A11...