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16 Cards in this Set
- Front
- Back
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causes for UTI after birth
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increased urin production in 1st 48 hours
trauma to bladder, urethra, and cauterization catheterization increase bladder size from getting rid of body fluid |
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signs of UTI
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concentrated urine
increase temp after 24 hours pain during urination |
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UTI and collecting specimen
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Note: "possibly contaminated by lochia"
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treatement of UTI
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Sulfa drugs-not for breastfeeding women
broad-spectrum antibiotic- amoxicillin or ampicillin force fluids prevention methods education |
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Sepsis (puerperal infection)
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is an inflammation of the birth canal after birth or abortion
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Sepsis factors
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PROM over 24 hours
invasive procedures retained placental fragments prolonged and difficult labor postpartal hemorrhage pre-existing anemia local vaginal infection at time of birth |
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sepsis outcome variables
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birulence of invading organism
general health of women portal of entry degree of uterin involution presence of lacerations in the reproductive system |
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sepsis symptoms
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elevated temp for 2 days after 24 hr
fatigue, chills, decreased appetite abnormal tenderness foul lochia |
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sepsis management
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1st: culture and sensitivity
2nd: start antibiotics monitor temp qh newborn visitation restricted if drainage involved handwashing before touching baby arrange for infant care |
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Mastitis
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infection of the breast
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signs and symptoms of mastitis
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localized pain in affected breast
swelling and redness fever accompanies 1st symptoms within hours breast milk becomes scant |
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Management of mastitis
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broad spectrum antibiotic
continue breastfeeding-reduces bacterial growth cold for pain relief warm for inflammation reduction wireless bra prevention |
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prevention of mastitis
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nipple care
assess latch |
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post partum hemorrhage
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leading cause of mortality and morbity in the US and around the world
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characteristics of postpartum hemorrhage
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can occur in a matter of minutes
5% of all women who deliver vaginally 25% of all pregnancy related deaths worldwide |
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definition of postpartum hemorrhage
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>500ml vag blood loss
>1000 ml C/S blood loss decrease of 10% in HCt between pre and post-birth levels |
