Risk for postpartum hemorrhage nursing diagnosis. Postpartum Hemorrhage Nursing Care Plan & Management 2022-10-05
Risk for postpartum hemorrhage nursing diagnosis
A postpartum hemorrhage (PPH) is a serious complication that can occur after childbirth. It is defined as the loss of more than 500 mL of blood within the first 24 hours after delivery. PPH is a major cause of maternal morbidity and mortality, and it is essential for healthcare providers, particularly nurses, to be aware of the risk factors and nursing diagnoses associated with this condition.
One of the main risk factors for PPH is a history of previous PPH or other uterine bleeding disorders. Other risk factors include prolonged labor, use of forceps or vacuum during delivery, and complications during delivery such as uterine atony or lacerations. PPH is also more common in women who have had a cesarean delivery, multiple gestations, or a large baby.
The nursing diagnosis for PPH includes assessing the patient's vital signs, including heart rate, blood pressure, and oxygen saturation. It is also important to monitor the patient's uterine contractions and assess the amount of bleeding. Other nursing interventions include administering medications as prescribed, such as oxytocin or misoprostol, and providing emotional support to the patient and her family.
Preventing PPH is an important nursing goal. This can be achieved through proper management of labor and delivery, such as monitoring the fetus and the mother's condition, and using appropriate interventions when necessary. It is also important for nurses to educate pregnant women about the signs and symptoms of PPH and the importance of seeking medical attention if they occur.
In conclusion, PPH is a serious complication that can occur after childbirth and is associated with significant morbidity and mortality. Nurses play a crucial role in the management and prevention of PPH through assessment, interventions, and patient education. It is essential for healthcare providers to be aware of the risk factors and nursing diagnoses related to PPH in order to provide the best care for their patients.
Postpartum Hemorrhage Nursing Care Plan & Management
During the recovery especially, I visited her room every 15 minutes to check and massage to fundus, the nurse showed me where to locate the fundus and what to and to not expect, because if it was not firm it could risk hemorrhaging. Excessive blood loss can cause several complications like increased heart rate, rapid breathing and decreased blood flow. Nursing diagnoses handbook: An evidence-based guide to planning care. For this reason, healthcare providers must know how to identify hyperglycemia accurately and what nursing diagnosis they may need to complete for this patient population… Cellulitis is a condition that can occur in any part of the body. For Josie, the nurses should notice a series of subjective and objective observation starting with her vital sign followed by neurovascular observation, her level of consciousness and pain assessment.
Care plan risk for postpartum hemorrhage Free Essays
Symptomatology may be useful in gauging severity of bleeding episode. Educate the patient on signs of infection and when to report it to the healthcare provider. A Oxytocin is the most effective treatment for postpartum hemorrhage, even if already used for labor induction or augmentation or as part of active management of the third stage of labor. Check for the capillary refill and observe nail beds and mucous membranes. Another importance of oxytocin is its psychophysiological effects on the mother. She is a clinical instructor for LVN and BSN students along with a critical care transport nurse. A darkly browned color lochia with a foul smell can indicate the presence of infection.
Postpartum Hemorrhage Concept childhealthpolicy.vumc.org
Interventions and Rationael : 1. It also involves controlled traction and a uterine massage after the delivery of the placenta. Oxytocin is more effective than misoprostol for prevention and treatment of uterine atony and has fewer adverse effects. Antibiotics act as prophylaxis to prevent infection or may be needed for an infection that caused or contributed to uterine subinvolution or hemorrhage. This will provide an accurate measurement of the renal status and perfusion with regard to fluid volume.
Post Partum Hemorrhage Nursing Care Plan
Measures severity of Disseminated intravascular coagulation DIC ; determines replacement needs and effects of therapy. Experiencing a life-threatening situation can cause Deficient Knowledge Care Plan Providing education on childbirth and delivery expectations can prepare the mother and support person for complications before they arise. Patient will verbalize understanding of signs and symptoms of hemorrhage by the end of clinical shift. There are different anticoagulants in different forms. Other changes will begin to occur as a result of this adjustment, and the mother must be prepared to deal with these life changes. The client may also develop signs of concealed blood loss if the hematoma is large.
Nursing diagnosis for postpartum hemorrhage Free Essays
The placenta was intact upon delivery. Educate the client and significant others regarding the identification of warning signs of bleeding. Elevation of the lower extremities increases venous return, ensuring greater availability of blood to the brain and other vital organs. Due to confidentiality, all names in this reflection of my experience have not mentioned to respect the privacy and confidentiality of the patient and other healthcare professionals. Why does postpartum hemorrhage occur? The nurse should be able to interpret the normal color, quantity, and odor of lochia discharge and the size, consistency, and tenderness of a normal postpartum uterus to recognize if an infection is present. Facilitate blood transfusion as ordered.
Postpartum Hemorrhage Nursing Diagnosis
To measure the risk of bleeding by knowing the platelet counts and coagulation levels of the patient. It may lead to shock and death if not treated. Journal of Nurse-Midwifery and Maternal Health, 4 3. Nursing Care Plans for Postpartum Hemorrhage You can also check out Nursing Care Plans for Postpartum Hemorrhage: Care Plan 3 — Diagnosis: Deficient Fluid Volume isotonic Deficient Fluid Volume: It is defined as decreased intravascular, interstitial, andintracellular fluid. Risk of extreme blood risk might happen immediately after birth up to the first-hour postpartum. Each milliliterof blood carries 0. Nursing References Ackley, B.
Hemorrhage Nursing Diagnosis
It is especially important to take note of the duration of lochia rubra to help in the diagnosis of PPH. Risk for Ineffective Activity Planning 2. A decreased fluid volume of 30-50% will reflect changes in the blood pressure. The patient should be efficacious in scheduling her home therapy with the rehabilitation team including: physical therapy to help with movement and weakness, language therapist, and an occupational therapist to help activities of daily living. There are a few reasons why postpartum hemorrhage occurs. If the client reports severe pain in the perineal area or a feeling of pressure between her legs, inspect to see if a hematoma could be causing this. All you need to do is Nursing Care Plans for Postpartum Hemorrhage Nursing Interventions Rationale Monitorrate of uterineinvolutionand nature and the amount of lochial discharge.
is risk for postpartum hemorrhage a safety or physiological need?
Physiologic responses can cause changes in vital signs, but psychological responses can also aggravate them. The degree of uterine contractility will measure the status of the blood loss. Looking at their capacity to provide successful infant care intensifies their confidence in parenting abilities. Gram stain determines the type of infection, whilst cultures and sensitivities determine the pathogen and can help determine which antibiotic is most effective against it. This content is owned by the AAFP. Obtain type and cross match of patients blood. Some bleeding is expected after delivery.