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This organized mobile unit contains all supplies, medications, and checklists needed for a PPH.
What is a hemmorhage cart?
This "T" refers to uterine atony and accounts for roughly 70-80% of PPH cases.
What is tone?
A BMI greater than this number is considered a significant pre-existing risk factor.
What is 35?
This is the immediate first-line nursing action when a boggy uterus is assessed.
What is fundal massage?
PPH is defined as blood loss greater than how many mL?
1,000 mL regardless of the mode of delivery.
This is the term for a standardized, unit-wide protocol used to manage escalating blood loss.
What is a PPH Bundle?
This "T" involves lacerations, hematomas, or uterine inversions.
What is trauma.
This labor-related factor, lasting more than 24 hours, increases the risk of atony.
What is prolonged labor?
This is the first-line medication typically added to IV fluids after delivery.
What is Oxytocin (Pitocin)?
What size IV catheter is most appropriate for an obstetric patient?
These multidisciplinary meetings should occur after every PPH event to identify successes and areas for improvement.
What is a Post-Event Debrief?
This "T" refers to retained products of conception or placenta accreta.
What is tissue?
This medication used for preeclampsia is a known risk facto because it acts as a smooth muscle relaxant.
What is magnesium sulfate?
This prostoglandin should be avoided in patients with a history of asthma.
What is Carboprost (Hemabate)?
What are 2 things the nurse should do when a patient has or is suspected to be having PPH after the provider has left the unit?
Increase frequency of vital signs and request OB provider come to evaluate that patient.
This "massive" protocol is activated in Stage 2 or 3 hemorrhage to ensure rapid access to blood products.
What is the massive transfusion protocol (MTP)?
This "T" involves coagulation disorders like Von Willebrand disease or DIC.
What is thrombin?
This labor-related factor, lasting more than 24 hours, increases the risk of atony.
What is prolonged labor?
This medication can be given rectally, orally, or sublingually to induce contractions.
What is Misoprostol (Cytotec)?
What should be considered to ensure that the patient's bladder is not causing uterine displacement?
Foley catheter (or straight cath) per provider order.
AWHONN emphasizes that this vital sign is often a late indicator of hypovolemia in obstetric patients.
What is blood pressure?
If the uterus is firm but there is steady, bright red bleeding, the provider should investigate this "T."
What is trauma?
Approximately what percentage of patients who develop PPH have no identified risks?
What is 20% of cases.
This medication should be avoided or used with extreme caution in patients with hypertension or preeclampsia.
What is Methylergonovine (Methergine)?
This medication is recommended within 3 hours of birth to reduce mortality from PPH.
What is transexamic acid (TXA)?