Medications
Usually the first line drug of choice to treat postpartum hemorrhage.
What is Oxytocin?
Only method to accurately know blood loss.
What is weigh or measure the blood & pads?
The most common cause of PPH is due to this reason.
What is uterine atony?
First intervention that nurses do to treat PPH.
What is fundal massage?
Can be given rectally.
What is misoprostol?
Postpartum hemorrhage is defined by these parameters.
What is >500cc for vaginal delivery and >1000cc for a cesarean delivery?
Five common risk factors for PPH.
What is macrosomia, twin gestation (multiples)
multipara, long labor, red heads?
You place the patient in the classic "shock prevention" position.
What is laying flat with feet slightly elevated?
Do not give to asthma patients.
What is Hemabate?
Uterotonic drugs are effective in treatment of PPH by this action.
What is contracts smooth muscles?
You suspect this if the patient continues to have many blood clots with bleeding.
What is retained placental fragments?
A contraindication to methergine.
What is hypertension?
The patient lost 350 ml at delivery then passed a 200 ml blood clot, then a pad that weighed 400 ml first time up to the bathroom.
What is 950 ml blood loss?
You suspect this when the patients' fundus is boggy and shifted to the left.
What is a full bladder?
Midwives carry this drug for PPH because it needs no refrigeration or syringes.
What is misoprostol?
Patient has a firm uterus but continues bleeding.
What is check for lacerations?
Final intervention for uncontrolled PPH.
What is hysterectomy?