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13 Cards in this Set
- Front
- Back
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How often should vitals be assessed in the unstable woman
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q 5 mins
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list 5 intra/post partum associated risk factors for PPH
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induction/ augment, chorioamnionitis, full bladde, assisted delivery, shoulder dystocia, precipitous or prolonged labour, third stage > 30 mins, lacerations list incomplete.
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what are the 3 principles of management of a PPH
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call for help
stop the bleeding treat the shock |
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what are the four components of active management
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Oxytocin administration
clamp and cut cord controlled cord traction uterine assessment and massage if needed |
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What are four resuscitative measures
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IV therapy
Maternal Oxygen Catheterization draw blood for testing |
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ergot, before or after placenta?
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after
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ergot dose, route and frequency
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0.25 mg IM q 5 mins up to 1.25mg cumulative dose.
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hemabate dose, route and frequency
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.25 mg IM q 15 mins up to max dose of 2. (8 times)
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what comes first bimanual compression or examination for cervical tears?
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examination for lacerations.
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Misoprostol rectal dosing
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400 to 1000 ug
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Incidence of PPH
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5% of labours
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antepartum associated factors
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Hx of PPH, retained placent or C/S
Gestational HT with proteinuria Over distended uterus ie. multiples, polyhydramnios, macrosomia Uterine fibroids Blood clotting disorders |
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Causes of PPH requiring surgical intervention
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uterine rupture
Uterine inversion coagulation disorders Severe/acute hematoma |
