Assessments
It's the most common assessment finding of uterine atony.
What is a boggy uterus?
This "T" is the most common cause of postpartum hemorrhage.
What is tone?
This is the first nursing intervention for a boggy uterus.
What is massaging the fundus?
This medication is the first-line medication used in PPH.
What is oxytocin?
You should assess for this first when a patient states "I feel dizzy".
What are boggy fundus and bleeding?
This causes a uterus to become boggy and deviated to the right.
What is a distended bladder?
This "T" describes retained placental fragments.
What is tissue?
The nurse must be sure to do this with the opposite hand before providing fundal massage.
What is supporting the lower uterine segment above the symphysis pubis?
This medication is contraindicated in hypertension.
What is methergine?
These 2 complications are occuring when a postpartum patient has:
BP 84/50, HR 132, heavy bleeding, and boggy uterus.
What are postpartum hemorrhage and hypovolemic shock?
This finding is often the first vital sign change that is observed in a postpartum hemorrhage.
What is tachycardia?
A vaginal hematoma is considered this "T".
What is trauma?
The nurse must perform this task if the fundus is displaced to the right of the midline.
What is empty the bladder?
This medication is contraindicated in asthma?
What is hemabate?
The nurse should assess for this when the uterus is firm, but heavy bleeding continues.
What is assess for lacerations or retained tissue?
This amount of blood loss defines a postpartum hemorrhage.
What is anything greater than 1,000 ml?
Disseminated intravascular coagulopathy (DIC) belongs to this "T".
What is thrombin?
Name 2 additional interventions that should be performed after calling for help.
What are increasing IVF, administering pitocin, quantifying blood loss, applying oxygen as needed, frequent vital signs?
This medication helps to stabilize blood clots and should be administered within 3 hours of a PPH.
What is tranexamic acid (TXA)?
After a patient has received pitocin, methergine, and hemabate, but continues to bleed, the nurse prepares for this.
Advanced hemorrhage interventions (balloon tamponade, blood transfusion, surgery)?
The nurse will become suspicious of this when the fundus is firm, but bleeding remains heavy.
What is trauma?
Name all four T's involved in PPH.
What are tone, trauma, tissue, and thrombin?
Name an advanced intervention that can be used when fundal massage and medications are not working.
What are balloon tamponade, bimanual compression, blood transfusion, uterine artery embolization, hysterectomy?
This uterotonic can cause fever and chills.
What is misoprostol?
The nurse enters the room and finds the patient with a saturated pad, large clots, and a boggy uterus. Prioritize the following
Empty the bladder, administer pitocin, call for help, massage the uterus
What are Massage the uterus, call for help, empty the bladder, and administer pitocin?