[20] MIDTERMS | POSTPARTUM P2 Flashcards
COMFORT MEASURES
OXYTOCIN (PITOCIN)
- produced by ____
- stored in the ____
- uterus to contract
- control ____
- can increase ____; always measure ____ before administering
OXYTOCIN (PITOCIN)
- produced by hypothalamus
- stored in the posterior pituitary
- uterus to contract
- control postpartum hemorrhage
- can increase BP; always measure BP before administering
COMFORT MEASURES
OXYTOCIN
If BP >____ mm Hg:
* Withhold agent
- Notify woman’s physician
- prevent HTN & CVA
OXYTOCIN
If BP >140/90 mm Hg:
* Withhold agent
- Notify woman’s physician
- prevent HTN & CVA
COMFORT MEASURES
ACETAMINOPHEN (TYLENOL)
- ____ Analgesic
- 1-2 tablets PO every ____ hours PRN
- For relief of ____
ACETAMINOPHEN (TYLENOL)
- Narcotic Analgesic
- 1-2 tablets PO every 4 hours PRN
- For relief of mild to moderate pain
COMFORT MEASURE
ACETAMINOPHEN (TYLENOL)
- Determine whether woman is sensitive to acetaminophen
- Monitor ____, ____ & UO
- Administer with food or after meals if GI upset occurs
- Take ____ with tablet
ACETAMINOPHEN (TYLENOL)
- Determine whether woman is sensitive to acetaminophen
- Monitor bowel sounds, RR & UO
- Administer with food or after meals if GI upset occurs
- Take 1 full glass with tablet
COMFORT MEASURES
DOCUSATE SODIUM (COLACE, SURFAK)
- prevent ____
- Lower ____ of feces
- allow ____ & water to penetrate & soften stool
DOCUSATE SODIUM (COLACE, SURFAK)
- prevent constipation
- Lower surface tension of feces
- allow lipids & water to penetrate & soften stool
COMFORT MEASURES
DOCUSATE SODIUM (COLACE, SURFAK)
Possible adverse effects:
- occasional ____
- D____
DOCUSATE SODIUM (COLACE, SURFAK)
Possible adverse effects:
- occasional abdominal pain
- Diarrhea
COMFORT MEASURES
Monitoring Uterine Status
- if (+) ____, investigate other causes
Determine relationship of fundus to umbilicus
- Assess ____ of fundus
- Note if fundus is in ____ or displaced to either side of abdomen
- Record results of assessment
Monitoring Uterine Status
- if (+) atony, investigate other causes
Determine relationship of fundus to umbilicus
- Assess firmness of fundus
- Note if fundus is in midline or displaced to either side of abdomen
- Record results of assessment
COMFORT MEASURES
Monitoring Uterine Status
- Monitor uterine status every ____ or more frequently if problems arise
Monitoring Uterine Status
- Monitor uterine status every 8 hours or more frequently if problems arise
COMFORT MEASURES - RELIEF OF PERINEAL DISCOMFORT
EPISIOSTOMY HEALING
REEDA Scale:
R - ____
E - ____
E - ____
D - ____
A - ____
EPISIOSTOMY HEALING
REEDA Scale:
R - Redness
E - Edema
E - Ecchymosis
D - Discharge
A - Approximation
COMFORT MEASURES - RELIEF OF PERINEAL DISCOMFORT
EPISIOSTOMY HEALING
REDNESS
- without excessive ____
- normal ____ associated with healing
- ____ with redness
- infection
EPISIOSTOMY HEALING
REDNESS
- without excessive tenderness
- normal inflammation associated with healing
- pain with redness
- infection
COMFORT MEASURES - RELIEF OF PERINEAL DISCOMFORT
EPISIOSTOMY HEALING
EDEMA
- ____ edema is common
- ____ edema interferes with healing
EPISIOSTOMY HEALING
EDEMA
- mild edema is common
- severe edema interferes with healing
COMFORT MEASURES - RELIEF OF PERINEAL DISCOMFORT
EPISIOSTOMY HEALING
ECCHYMOSIS
- few ____ bruises (common)
- ____ bruises (interfere with normal healing)
EPISIOSTOMY HEALING
ECCHYMOSIS
- few small superficial bruises (common)
- larger bruises (interfere with normal healing)
COMFORT MEASURES - RELIEF OF PERINEAL DISCOMFORT
EPISIOSTOMY HEALING
DISCHARGE
- ____ should be present
EPISIOSTOMY HEALING
DISCHARGE
- No discharge should be present
COMFORT MEASURES - RELIEF OF PERINEAL DISCOMFORT
EPISIOSTOMY HEALING
APPROXIMATION
- ____ should not be separated
EPISIOSTOMY HEALING
APPROXIMATION
- Suture line should not be separated
COMFORT MEASURES - RELIEF OF PERINEAL DISCOMFORT
REEDA SCALE SCORING
REDNESS
- 0 - None
- 1 - < ____ cm of incision bilaterally
- 2 - < ____ cm of incicion bilaterally
- 3 - > ____ cm of incision bilaterally
REEDA SCALE SCORING
REDNESS
- 0 - None
- 1 - < 0.25cm of incision bilaterally
- 2 - < 0.5cm of incicion bilaterally
- 3 - > 0.5cm of incision bilaterally