Antepartum Haemorrhage Flashcards
1
Q
Call for Help
A
- 2222
- obstetric emergency
- SOAPS
2
Q
Airway
A
- head tilt, chin lift
- consider airway adjunct
- position- left lateral or flat
3
Q
Breathing
A
- high flow O2 10-15L via a non re-breath mask
- check for fogging
- signs of respiratory distress
4
Q
Circulation
A
- IV access 2x14g cannula
- bloods- FBC, G+S, cross match
- fluids- up to 3.5L of warmed fluids
- administer blood as soon as possible
- urinary catheter- 0.5mls/kg/hr
- obs every 3-5 mins
- fluid balance chart
5
Q
Disability
A
- AVPU
- pupil size
- drugs
- blood glucose
6
Q
Exposure
A
- observe top to toe
- temperature
7
Q
Immediate Care
A
- EMCS
pre-operative checklist - theatre gown
- verbal consent
- ID band
- remove jewellery
- WHO checklist
8
Q
Omeprazole
A
40mg- IV
- decreases the amount of acid made in the stomach
9
Q
Metoclopramide
A
10mg- IV bolus
- stimulates gastric emptying
10
Q
Sodium Citrate
A
30mls- oral
- neutralises stomach contents
11
Q
Ongoing Care
A
- consider ITU
- consider vascular access
- prepare for PPH
- cord bloods
- analgesia
- repeated FBC- 6 hours
- emotional support
- debrief
- consider VTE
- aware of blood loss
- feeding support
- document
