University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2021
Views:

419

Pages:

1
Author:

Accinkiquicpqw

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _____________________________________ Postpartum Hemorrhage DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Postpartum Hemorrhage Pathophysiology Related to Client Problem Uterine atony, trauma, retained placenta fragments, coagulopathy Health Promotion and Disease Prevention Postpartum medications reduce the amount of blood loss. ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Uterine atony, overdistende uterus, prolonged labor, oxytocin induced labor, high parity, ruptured uterus, pregnancy complications, lacerations, hematomas Laboratory Tests Uterine atony, blood clots larger then a quarter, perineal pad saturation in 15 min or less, tachycardia, hypotension, pallor Diagnostic Procedures Hgb and HCT, coagulation profile (PT), Blood type and crossmatch Estimation of blood loss PATIENT-CENTERED CARE Nursing Care Firmly massage the uterine fundus, assess vitals, assess source of bleeding Therapeutic Procedures Massage fundus administer medications ACTIVE LEARNING TEMPLATES Standard precautions including washing hands before and after interacting with patient. Fall precautions Complications Medications Oxytocin Methylergonevi ne Misoprostol Carboprost Thromethamine Client Education Limit physical activity to conserve strength and to increase iron and protein to promote rebuilding RBC, take iron with vitamin C to enhance absorption. Uterine perforation Uterine synechiae urinary tract injury hypovolemic shock Anemia Interprofessional Care Nurse, primary care provider, pharmacy THERAPEUTIC PROCEDURE A11