GRCC High Risk postpartum care
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| What are the primary physiological disorders postpartum? | show 🗑
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| What are the primary psychological disorders? | show 🗑
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| show | Hemorrhagic shock related to hypovolemia.
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| What is early postpartum hemorrhage (PPH)? | show 🗑
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| What are causes of early PPH? | show 🗑
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| show | hematomas, subinvolution and retained placental tissue.
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| subinvolution | show 🗑
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| Risk factors of PPH | show 🗑
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| show | presence of excessive amniotic fluidamniotic fluid surrounding the unborn infant.
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| show | 10% increase in hct post birth; saturation of peripad within 15 minutes;fundus that remains boggy after massage;tachycardia; decrease in blood pressure.
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| show | A blood clot within the vascular system. women are at risk for forming blood clots during pregnancy through the first 6 weeks of pg
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| Risk factors for thrombosis | show 🗑
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| Signs and symptoms of thrombosis | show 🗑
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| Medical mgmt of thrombosis | show 🗑
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| show | Genital tract infection.
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| show | Streptococci...it is a local infection of the endometrium- who lining of the uterus can get infected.
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| show | Increased temp, increased pulse, chills and malaise. Decreased appetite, back ache and sever after birth pain. Also, foul smelling lochia..unless streptococcus is present, then lochia is scant and odorless.
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| Risk factors for endometritis | show 🗑
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| Medical mgmt of endometriosis | show 🗑
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| show | Infection of fallopian tubes transmitted from uterus to venous how tubes infected
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| show | Increase temp, increase pulse, rigidity ab.
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| Med mgmt of salpingitis | show 🗑
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| show | Infertility, usually just one side
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| Nursing actions for endometris | show 🗑
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| Cystitis is an infection of the bladder | show 🗑
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| show | Low grade fever (<38.5c/101F), burning urination, supapubic pain, urgency to void, small frequent voids (less than 150 ml/voiding)
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| show | Encourage to void, if not more than 200 ml/void, then you'll have to cath the mom. Give antibiotics and get labs (UA, CBC, urine culture)
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| show | Every three to four hours
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| show | cranberry juice, apricots and plums.
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| show | Blood clots in legs due to extra blood; puts pressure on femoral arteries; use support stockings.
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| Treating thrombolitis | show 🗑
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| Thromobolitis manifestations | show 🗑
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| Med mgmt of thrombolitis | show 🗑
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| Complications of thrombolitis | show 🗑
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| Mastitis | show 🗑
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| When does infection resolve if mama has mastitis? | show 🗑
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| show | History of it, cracked and or sore nipples, use of antifungal nipple cream (usually applied when NB has thrush)
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| show | encourage mama to continue expressing milk to promote flow and prevent it from plugging up.
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| Treating mastitis | show 🗑
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| show | Requires psychiatrtic interventions, occurs within 6 months post partum, unable to safely care for baby or self
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| show | Symptoms disappear without medical intervention, occurs within 2 weeks postpartum, able to safely care for baby and self.
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| Post partum psychosis | show 🗑
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