Blood loss
Blood loss of 500-999 ml (NSVD) or 1000ml
What is an early sign of PPH
Warning sign of worsening PPH
What is a tachycardia
Blood loss 1000ml or VS changes, or increased bleeding in recovery (500-999ml in NSVD)
What is Stage 1
Effective tool to recognize excessive blood loss early in a PPH
What is QBL
The feel of a boggy uterus
What is doughy or spongy
A life threatening hemorrhage
What is Stage 4
1000ml or greater of blood loss and/or s/s of hypovolemia
What is definition of PPH
Delayed capillary refill, pallor, SpO2 less than 95%, reduced level of consciousness, generally not feeling well (nauseous/dizzy)
What are additional signs of hypovolemia
Active bleeding with blood loss going past 1500ml, > 2 units PRBCs given, VS unstable/abnormal lab values/ oliguria are assessed, OR suspect DIC
What is Stage 3
Late sign of hypovolemia
What is Oliguria
Many times discovered by the RN
What is uterine atony
Cardiovascular collapse from a massive hemorrhage as evidenced by extreme hypovolemic shock
What is Stage 4
The leading cause of PPH
What is Tone (or atony)
Causes changes in vital signs
What is blood loss up to 1500ml
Continued bleeding OR blood loss reaches up to 1500ml OR 2 uterotonic medications have been administered OR VS are unstable
What is Stage 2