NAME THAT MED!
First line medication for PPH
What is Oxytocin
First action to assess postpartum bleeding
What is Fundal Massage
Four T's for PPH
What is Tone, Tissue, Trauma, Thrombin
Severe range BP
What is: Systolic > or = 160
Diastolic > or = to 110
on two occasions within 15 minutes to 4 hours
Used to prevent seizures in the Hypertensive patient with severe features
What is MgSO4
Medication you should use with caution with high blood pressure
What is Methergine
Name 3 other nursing actions to assist with PPH
What are: Start second line IV; obtain cooag panel
Insert Foley Get extra help Frequent VS
O2 Elevate foot of bed Bring PPH cart to BS
Obtain PPH meds from Omnicell Call MRT
Give blood
Labs needed for stage 2 PPH (>1000, < 1500)
What are DIC panel, CBC, BMP
BP is > or equal to 140/90 prior to 20 weeks gestation
What is Chronic Hypertension
Onset of seizures in preeclamptic patient
What is eclampsia
Used to treat hypertension with dosing 20 mg, 40 mg, 80 mg
What is Labetalol
Maximum volume of _________ for Bakri balloon
What is 500 ml LR or NS or sterile water
This protocol is used to keep 5 PRBCs, 5 Plasma and 1 Platelet available for the patient
What is Massive Transfusion Protocol
IF more platelets or Cryopreciptate are anticipated, notify blood bank asap
HTN after 20 weeks without proteinuria
What is Gestational Hypertension
Painless bright red vaginal bleeding
What is placenta previa
1 gram in 100 ml NS over 15 minutes
What is TXA
Hemorrhage device that uses suction as treatment
What is Jada
Dose for Hydralazine
What is 5-10 mg IVP every 20 minutes prn
New onset HTN after 20 weeks with proteinuria
What is Preeclampsia
Name 2 symptoms of placental abruption
What are board like abdomen, severe abdominal pain, contractions, vaginal bleeding, fetal distress
Uterotonic that may be given rectally, orally or intravaginally
What is Misoprostol/Cytotec
Amount of fluid used to fill Suction Hemorrhage Device
What is 60-120 ml
Name 2 risk factors for PPH
What are: history of PPH, Prolonged labor, Preeclampsia, fetal demise, use of MgSO4, G1 or > G5, > 30 yrs old, coagulopathy, multiple gestation, Induction of labor, operative vaginal delivery or C/S, Chorio, Shoulder Dystocia
Name 2 severe features of preeclampsia
What are: SBP of at least 160 or DBP of 110, PLT Ct < 100,000, elevated liver enzymes, protein-creatinine ration of > or = 0.3
Name 2 symptoms of uterine rupture
Name 2 risk factors for uterine rupture
What are: fetal decels, Tachycardia, Low BP, Sudden, severe abdominal pain, vaginal bleeding, tetanic contractions
What are: prolonged labor, uterine scar, uterine trauma, polyhydramnios, multiples