NUR 359 Lecture Notes - Lecture 23: Low Molecular Weight Heparin, Amniotic Fluid Embolism, Pulmonary Embolism
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500 ml. in the first 24 hours after a vaginal delivery or greater than. *normal blood loss is about 300 - 500 ml. ) Hemorrhage that occurs after the first 24 hours. **the myometrium fails to contract and the uterus fills with blood because of the lack of pressure on the open vessels of the placental site. Nurse many times can predict which women are at risk for hemorrhaging. D & c, hysterotomy/ectomy, replace blood / fluids. Predisposing factors: spontaneous or precipitous delivery, size, presentation, and position of baby, contracted pelvis, vulvar, cervical, perineal, uretheral area and vaginal varices. Signs and symptoms: bright red bleeding where there is a steady trickle of blood and the uterus remains firm, hypovolemia. Treatment and nursing care: meticulous inspection of the entire lower birth canal, suture any bleeders, vaginal pack-- nurse may remove and assess bleeding after removal, blood replacement. You are assigned to mrs. b. who delivered vaginally.
