Stages
Every woman giving birth
Who is at risk for a hemorrhage
# 1 intervention for any hemorrhage
What is fundal massage
Initial dose of oxytocin with placental delivery
What is 999 ml IV or 10 units IM
Action if High Risk Hemorrhage score
Should I order Type and Cross:
Blood loss over 1000 ml or VS change HR > 110 BP<85/45, O2 sat <95% Increased bleeding in recovery Stage?
What is stage 1
Rapid Response OB hemorrhage
Who you gonna call?
One is not enough
Should I start 2nd IV
Contraindication for methergine 0.2 mg IM
What is hypertension?
CBC,CMP,PLT PT, PTT,Fibrinogin, Teg
What labs should I draw
Continues bleeding loss <1500
What is stage 2
Blood loss > 1000 ml
What is Stage 1 hemorrhage
Way to watch kidney profusion
What is a foley catheter
Antifibrolytic medication that has been used in trauma for many years
What is TXA
O Negative
What is emergency blood if no type and screen
Total blood loss >1500ml > 2units blood given,VS unstable. Loss 50% voluime in 3 hours
What is stage 3
Blood Loss over 1500 ml,> 2 units blood given, unstable VS, suspicion of DIC, Abnormal labs or oliguria
What is stage 3
Red to Red, may use up to 500 ml
What is a Bakri Balloon
250 mcg IM used with caution in patients with Asthma, May repeat q 15 minutes maximum 8 doses
What is hemabate
Given >2 units of PRBC, what next
What is fresh frozen plasma
Better than EBL
What IS QBL, (weighing and measuring)
Stage 3 Blood bank notification
What is massive transfusion protocol
Located in radiology, at end of US hallway
What is interventional radiology
Given rectally but takes 20 minutes to see effect
What is misoprostil
Ratio 1:1 in Massive transfusion protocol
What is ratio of FFP to PRBC
Level 3 hemorrhage with continued instability and blood loss
What is ACLS