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6 Cards in this Set
- Front
- Back
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what is the criteria for postpartum hemorrhage
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500cc in vag
1000cc in c/s |
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What do you after postpartum hemorrhage has been established?
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palpate utuerus, ddx inversion, atony, retained placenta, vag laceration
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Pt presents w. PPH atfter a prolonged labor, uterine palpation reveals a boggy uterus what is the next step
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tx w. pitocin (to get the uterine contracting again, which will clamp down on the bleeding vessels)
(other -methergen, pgf2 alpha-turns off bleeding) |
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PPH and absent uterus?dx and tx
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uterine inversion, due to defect in myometrium, tx w. transvagina lsurgery which tacks uterus back
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PPH and firm uterus?
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retained placenta
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PPH and blood wont stop oozing from IV site
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DIC, placental content in bloodstream forms clots which used up all factors and fibrinogen DX w. DIC panel (platelet, factors, fibrinogen low) Tx w. FFP.
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