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OB: abnormal postpartum

Terms in this set (47)

atony
lack of muscle tone
boggy fundus
uterus is more placid (not contracted down)
embolus
blood clot
endometritis
inflammation of the inner lining of the uterus
hematoma
collection of blood in tissues
hypovolemia
decreased blood volume
mania
state of being hyperactive (invulnerable)
mastitis
infection of the breast
psychosis
serious impairment of ones perception of reality
puerperal sepsis
infection after child birth temp greater than 100.4 after 24 hours PP fever most caused by endometritis
shock
cardiovascular system fails to provide essential oxygen and nutrients to cells
signs of atony
increased lochia
cariogenic shock
caused by pulmonary embolus, cardiac disorders, anemia, hypertension
hypovolemic
hemorrhage or clotting disorder
septic shock
puerperal infection
early hemorrhage
occurs within first 24 hours of giving birth
causes of early hemorrhage
atony, lacerations, hematomas
you want the uterus to be contracted down to prevent
bleeding
90% of early bleeding is caused by
atony (gonna be above the umbilicus
lacerations are more common if
rapid labor, large baby, vacuum used
hematoma are usually found in
vulva or vagina
signs of hematoma
uncontrolled pain, pressure, could obstruct urine flow
when you have a hematoma you will
have symptoms of hypovolemia but no blood loss
hematoma
brighter red than loch rub. gonna have a continuous trickle
ice pack on the perineum may prevent
hematomas
late hemorrhage can occur
24 hours after birth and up to 6 weeks postpartum
late hemorrhage is usually caused by
retained placental fragments
high risk for retained placental fragments if
dr manually removes placenta, placenta is implanted deeper than usual
how to diagnose RPF
ultrasound
first sign of shock
tachycardia
low blood pressure is a
late sign of shock
number one goal when having hypovolemic shock
stop bleeding
when experiencing hypovolemic shock
blood flow from vital organs is being sent to vital organs. skin will be pale and moist
anemia
will have decreased HNH
sub involution is caused by
infection. (retained placental fragments)
thrombophlebitis
inflammation of the vein
DVT signs
errythma, pain, positive homans sign
antidote for warfarin
vitamin k
at increased risk for endometritis if
you have retained placental fragments
signs of endometritis
severe persistant cramping, uterine tenderness, foul smell
mastitis usually happens
2-3 weeks after delivery
postpartum psychosis
6 weeks after delivery. lost touch with reality
Methylergonovine
can give in place of oxytocin for uterus contraction contraindicated with hypertension
oxytocin drugs for late PP hemorrhage
may try the drugs to let body explode naturally within 48 hours will need antibiotics
persistent lochia rubra is a sign of
subinvolution
signs and symptoms of a PE
sudden chest pain short of breath notified doctor stat then apply 02
treatment for PE
anticoagulants
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