Postpartum Hemorrhage
The most common cause of PP hemorrhage
What is
uterine atony?
Fundal massage
Assess lochia
Monitor VS and for signs of shock
Pad count
IV Fluids
What are nursing interventions for pp hemorrhage
Emotional lability is the most prominent symptom of this condition which typically resolves within 2 weeks
What is postpartum or baby blues?
Blood loss > 500 ml after vaginal delivery
What is postpartum hemorrhage?
This drug may be ordered for a postpartum woman with Deep Vein Thrombosis
What is heparin?
Clinical manifestations of this serious complication due to blood loss include hypotension, agitation/confusion, and hemodynamic instability
What is
severe shock?
Promoting adequate circulation by providing items such as TED hose and NSAIDS can help prevent this postpartum complication
What are thromboembolic conditions?
This condition usually surfaces within 3 weeks of giving birth and can cause delusional beliefs and hallucinations
What is postpartum psychosis?
This condition puts the patient at risk for pulmonary embolism
What is deep vein thrombosis
After exhausting other treatments, this last-resort lifesaving measure may be needed to stop postpartum hemorrhage
What is a hysterectomy?
In uterine atony the uterus fails to do this
What is contract?
A soft, boggy uterus that deviates from the midline might suggest this problem to the nurse
What is a full bladder?
Treatment for postpartum depression may include a combination of antidepressant or antianxiety medication and this
What is psychotherapy?
Slower than expected return of the uterus to its normal size and condition after birth
What is Subinvolution?
Medication given to treat Metritis, a PP uterine infection
What are broad-spectrum antibiotics?
Causes of PPH include 4 T’s: Tone, Tissue, Trauma, and this
What is Thrombin?
Frequent monitoring for s/s of elevated temperature, chills, foul-smelling vaginal discharge, headache, malaise, restlessness, anxiety, and tachycardia may alert a nurse to this problem
What is postpartum infection?
Risks of this condition include harm to the mother and/or infant
What is postpartum psychosis?
This condition is usually confined to the saphenous vein in the lower leg
What is superficial thrombosis?
It is not only safe but recommended to continue doing this if a woman gets mastitis
What is empty breasts/ breastfeed?
One complication of PPH is this condition in which small blood clots develop throughout the bloodstream depleting the platelets and clotting factors causing excessive bleeding
What is DIC?
In order to effectively cope with stresses in the postpartum period nurses should educate woman the importance of asking for this
What is help?
Major depressive episode associated with childbirth with symptoms lasting beyond 6 weeks and worsening
What is postpartum depression?
Inflammation of breast tissue usually due to infection
What is mastitis?
Oxytocin (Pitocin) can be given to a woman with postpartum hemorrhage. It works by doing this
What is stimulating the uterus to contract?