4 Ts
Uterine subinvolution; uterine atony; boggy fundus
Tone
First line treatment for PPH
Oxytocin
If I am boggy you must massage me, what am I?
The fundus
Life-saving, last resort surgical procedure
Hysterectomy
Heart rate 145
Tachycardia
Lacerations; hematomas
Trauma
Hypertension is a contraindication
Methylergonovine maleate
(Methergine)
If I am too full I will displace the uterus, what am I?
The bladder
Bimanual compression
The blood type given in an emergency
O-
Retained or abnormal placenta
Tissue
The only PPH medication that is not considered a uterotonic
TXA
Temp, Pulse, RR, BP, Sp02
Monitor vital signs
Medical device using suction
The JADA
Less than 30 mL of urine output over 2 hours
Oliguria
Preeclampsia; stillbirth; coagulation disorders
Thrombin
Carboprost tromethamine
(Hemabate)
You better start me if there is no access, what am I?
An IV
First line surgical approach for retained products
D&C
The smallest bore IV that should be placed
20 guage
The most common reason for postpartum hemmorhage
Tone
(Uterine Atony)
Dosed 800-1000mcg
Misoprostol
(Cytotec)
Call me, beep me, if you wanna reach me.
Notify the provider
Packing or balloon
Uterine Tamponade
The solutions used for fluid resuscitation
Lactated Ringers or Normal Saline