chapter 33 Flashcards
the leading cause of early pph
uterine atony
early pph
occurs within 24 hours of birth
late pph
occurs more than 24 hours but less than 6 weeks after birth
pph for a vaginal delivery
500 ml or more of blood loss
pph for a c section
1000 ml or more of blood loss
placenta accreta
slight penetration of myometrium (by the placenta)
placenta increta
deep penetration of myometrium (by the placenta)
placenta percreta
perforation of the uterus (by the placenta)
the primary sx of uterine inversion
hemorrhage, shock, pain
incomplete inversion
a smooth mass can be palpated through the dilated cervix
complete inversion
the lining of the fundus crosses through the cervical os and forms a mass in the vagina
prolapsed inversion
a large red rounded mass protrudes 20 - 30 cm outside the introitus
von Willebrand Disease
a type of hemophilia; the most common of all hereditary bleeding disorders; the treatment of choice is desmopressin
superficial venous thrombosis
pain and tenderness in the lower extremity; physical assessment may find warmth redness and enlarged hardened vein over the site of thrombosis
DVT
unilateral leg pain, calf tenderness, swelling, redness and warmth, positive homans
PE
dyspnea, tachypnea, tachycardia, apprehension, cough, hemoptysis, fever, syncope
most common diagnostic test for VTE
venous u/s w/ or w/out color doppler
superficial venous thrombosis treatment
analgesia (NSAIDS), rest w/ elevation of affected leg, elastic compression stockings, heat applied locally
DVT treatment
anticoagulant therapy (heparin IV), bed rest w/ affected leg elevated, analgesia, compression stockings, eventually oral anticoagulants
PE treatment
anticoagulant therapy (continuous IV heparin)
what med should not be given to women on anticoagulant therapy?
aspirin
endometriosis treatment
antibiotics, hydration, rest, pain relief
wound infection treatment
antibiotic therapy w/ wound debridement, analgesics, sitz baths, warm compresses, and perineal care
UTI treatment
antibiotics, analgesia, hydration
