PPH Basics
This amount of blood loss defines a postpartum hemorrhage for a vaginal birth.
What is 500 ml?
This immediate nursing action helps control uterine bleeding after a vaginal delivery
What is vigorous fundal massage?
This medication is the second-line treatment for PPH, given intramuscularly
What is Methergine?
This number of previous vaginal births moves a patient from low to medium risk
What is 5?
This is the first step when a postpartum hemorrhage is identified
What is calling the charge nurse and requesting additional help?
This is the first-line medication for managing the third stage of labor to prevent hemorrhage
What is oxytocin (pitocin)?
This type of IV access is preferred when managing a postpartum hemorrhage
What is an 18-gauge IV?
This medication can be given sublingually or rectally at 800-1000 mcg
What is Misoprostol (Cytotec)?
These medical conditions automatically place a patient in the high-risk category
What are severe preeclampsia, HELLP syndrome, or elevated liver enzymes?
These vital signs should be monitored every 5 minutes during a hemorrhage
What are blood pressure, pulse, respiration, and oxygen saturation?
This is the clinical definition of postpartum hemorrhage beyond blood volume
What are vital signs changing by 15%, heart rate ≥110, blood pressure ≤85/45, or oxygen saturation < 95%?
This device helps keep the patient warm during a hemorrhage
What is a Bair Hugger?
This medication helps control bleeding by reducing fibrinolysi
What is Tranexamic Acid (TXA)?
A platelet count below this number increases hemorrhage risk
What is 100,000/mm³?
This medical team is typically activated during a severe postpartum hemorrhage
What is the Rapid Response team?
These three key components of the active management of the third stage of labor help prevent postpartum hemorrhage.
What are oxytocin administration, delayed cord clamping, and controlled cord traction?
These compression devices are applied to lower extremities during severe hemorrhage
What are sequential compression stockings?
This prostaglandin medication cannot be given to patients with asthma
What is Hemabate?
These two pregnancy characteristics are considered medium-risk factors
What are multiple gestation and estimated fetal weight > 4000 grams?
These are two potential surgical interventions for uncontrolled hemorrhage
What are uterine artery ligation or hysterectomy?
This specialized cart contains specific tools for managing postpartum hemorrhage
What is the Postpartum Hemorrhage (PPH) Cart?
This is the recommended blood product ratio in a Massive Transfusion Protocol
What is near 1:1 PRBC:FFP with 1 platelet apheresis pack for every 4-6 units PRBC?
These are three specific high-risk conditions related to placenta issues
What are placenta accreta, placenta percreta, or placenta previa?
This is the final stage of PPH management when cumulative blood loss exceeds 1500 mL
What is Stage 3, which may require Massive Transfusion Protocol and potential ICU admission?