Postpartum Hemorrhage
What is postpartum hemorrhage?
What is blood loss in vaginal delivery >500 ml and blood loss in C section >1000 ml.
T/F === Patient will have lochia flow of less than one saturated perineal pad per hour.
True
Nursing intervention that assists with expulsion of clots?
What is fundal massage?
First line medication in PPH.
What is Oxytocin (Pitocin)?
Most common cause of PPH?
What is uterine atony.
When massaging the boggy uterus with one hand the other hand goes where?
What is above the symphysis pubis.
When you weigh saturated pads in grams, which converts to?
What is 1g=1 ml?
Given 600-1000 mcg rectally.
What is cytotec (misoprostol)? No contraindications.
The 4 T's of PPH.
What is Tone (atony), Trauma (laceration), Tissue (retention of tissue, placenta accreta), Thrombin (bleeding disorder)?
Cause of uterus when deviated to the side.
What is full bladder.
An important blood work to obtain prior to birth?
What is type and screen?
What is dosage of PPH medication with HTN as a contraindication?
What is 0.2 mg IM for methergine (methylergonovine)? May be given Q2-4 hours.
Amount of blood that defines hemorrhage in vaginal delivery.
What is 500 ml or more?
BUBBLE stands for what?
What is breasts, uterus, bladder, bowel, lochia, episiotomy.
A non-pharmacological intervention you can give mom during suspected PPH?
What is comfort?
Which patients should hemabate (methylprostaglandin) NOT be given?
What is Asthma?
Occurs > 24 hours up to 12 weeks post delivery.
What is secondary PPH.
The position of the bed to check fundus.
Assessing the amount of bleeding right after delivery, the blood is called ________ and the color is ____________.
What is lochia and red in color.
What medication can be given within 3 hours of birth for PPH?
What is tranexamic acid (cyklokapron)?