Nursing+Care

=Nursing care, including non-pharmacologic interventions =

Assess:
-Bleeding color and amount -Perineum for lacerations or hematomas -VS (related to blood loss i.e. Tachycardia, tachypnea, lowering BP, capillary refill, skin color/temp) -Lab values Hemoglobin, hematocrit -Dehydration from blood volume loss (skin turgor) -Level of consciousness (hypoxia)

Early recognition and Dx is critical.

Outcomes include:
-Normal VS -Fluid balance -No related complications -Pt. verbalizes understanding of condition and discharge instructions -Pt. IDs support systems

Nursing interventions include:
<span style="font-family: 'Comic Sans MS',cursive;">-Massaging fundus <span style="font-family: 'Comic Sans MS',cursive;">-Expression of clots <span style="font-family: 'Comic Sans MS',cursive;">-Eliminate bladder distention <span style="font-family: 'Comic Sans MS',cursive;">-Provide IV fluid or blood replacement <span style="font-family: 'Comic Sans MS',cursive;">-Give O2 and maintain airway. <span style="font-family: 'Comic Sans MS',cursive;">-Monitor I/O <span style="font-family: 'Comic Sans MS',cursive;">-Provide discharge info (may feel fatigued, limit activities (conserve strength, increase iron and protein) <span style="font-family: 'Comic Sans MS',cursive;">-Provide info on all procedures and use therapeutic communication.

<span style="color: #000000; font-family: 'Comic Sans MS',cursive;">References

<span style="font-family: 'Comic Sans MS',cursive;">Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010). //Maternal child nursing care//. (4 ed., pp. 576-579). Maryland Heights, MO: Mosby Elsevier.