ramlahassan952
POST PARTUM HEMORRHAGE Topics to review prior to the simulation:…
POST PARTUM HEMORRHAGE
Topics to review prior to the simulation: postpartum assessment and nursing care. This will allow the simulation to run more smoothly and get the most out of it. I do NOT expect you to be an expert. Simulation is for learning and not graded!
Obstetrical risk factors for developing postpartum hemorrhage
Nursing interventions for a patient with postpartum hemorrhage
Pharmacological (oxytocic agents) and other medical interventions for a patient with PPH
What is postpartum hemorrhage and blood loss for vaginal versus cesarean delivery?
The primary causes of Post partum hemorrhage in descending order of frequency are the 4 T’s:
Postpartum hemorrhage may be classified as Primary or secondary. Describe the time of onset of each.
Early (primary)
Late (secondary)
List the risk factors that increase a woman’s chance of having Postpartum hemorrhage?
Fill in the Chart.
Precipitating factors for hemorrhage – the 4 Ts –
Precipitating factors for hemorrhage – 4Ts
Medical Factors
Signs and symptoms
Nursing actions
What is uterine atony?
What assessment findings are noted?
What are the primary nursing Actions?
What are Uterotonic Medications?
Please complete the charts on the following uterotonic agents and the chart related to items utilized during care:
Drug
Classification
Dosing Information (route,
Actions
Indications
Oxytocin
(Pitocin)
Methylergonovine maleate
(methergine)
Misoprostol (cytotec)
Hermabate (carboprost)
Identify items and their purpose in the care of a patient with PPH
Item
Purpose
Airway and suction equipment
Blood pressure cuff
Blood products
Chux pads/peripads
Foley catheter
gloves
IV equipment and solutions
Medications
Oxygen equipment
Pulse oximeter
Specimen tube
Stethoscope
CARE OF THE POSTPARTUM CLIENT
Watch the following video of a C section procedure:
Watch the video on a PPH simulation. Your role is the infectious disease/quality improvement nurse. You will monitoring the student nurses appearing in the video on safety, infection control and professionalism during the simulation. https://youtu.be/MxKiGP17C24
After you have completed the video, please answer the following questions (you may rewatch the video as needed for the questions).
What were Susan Brown’s risk factors for PPH?
What signs and symptoms of PPH did Ms. Brown exhibit?
Provide the rationale for Ms Brown’s VS or 95/55, P 116, RR 22.
Why was oxygen applied if Ms. Brown’s oxygen level was 94%?
What nursing interventions were performed for the PPH? Why where those performed? Were those interventions appropriate? Explain your rationale.
Where the interventions successful? Provide your rationale.
What labs do you anticipate would be drawn?
What the following video provided to clients for post-operative education after a C-Section https://youtu.be/LXOQbd_2Flo
Identify 3 important educational components that as Ms. Brown’s LPN you would focus on for reinforcement.
Why did you chose those 3?
What additional information would you include if you were on the committee creating the educational videos and why.
How effective do you think this video would be to a post op client and family and why.
