Ch. 10 - Compllications After Labor & Birth

Ch. 10 - Compllications After Labor & Birth -...

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Chapter 10 Nursing Care of Women  with Complications  Following Birth
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Categories of Postpartum  Complications Slide 2
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Shock Defined as a condition in which the  cardiovascular system fails to provide  essential oxygen and nutrients to the  cells Cardiogenic Hypovolemic Anaphylactic Septic Slide 3
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Hemorrhage Early—within 24 hours  postpartum Late—between 24  hours and 6 weeks  postpartum Major risk is  hypovolemic shock Interrupts blood flow to  body cells Prevents normal  oxygenation, nutrient  delivery, and waste  removal Signs and symptoms Tachycardia Falling systolic blood  pressure Pale, cold, and clammy  skin Mental status changes Decreased urinary  output Slide 4
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Early Postpartum Hemorrhage Causes Atony Lacerations Hematomas Slide 5
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Nursing Tip Because postpartum women often  have a slow pulse rate - suspect  hypovolemic shock or infection if the  pulse rate is greater than 100 beats/min Slide 6
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Nursing Care Frequent vital signs Assessment of lochia Observation for perineal hematoma Assessment of fundus Firm with bleeding may indicate vaginal laceration Accurate measurement of intake and output Monitoring intravenous fluid therapies Monitoring oxygen saturation levels Provide emotional support to the woman Monitor for signs of anemia Slide 7
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Lochia Assessment
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Fundal  Massag e
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Late Postpartum Hemorrhage Causes Retention of placental fragments Subinvolution Nursing care Teach the woman to report Persistent, bright red bleeding Return of red bleeding after it has changed to  pink or white Prepare for intravenous medication Prepare for possible surgical intervention Slide 10
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Bladder Distention
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Thromboembolic Disorders  A venous thrombosis is a blood clot within a 
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This note was uploaded on 11/10/2010 for the course PRACTICAL KSPN 124 taught by Professor Ljnelson during the Fall '10 term at Kansas City Kansas Community College.

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Ch. 10 - Compllications After Labor & Birth -...

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