Postpartum Haemorrhage Flashcards
1
Q
Call for Help
A
- 2222
- obstetric emergency
- SOAPS
- rub up a contraction
2
Q
Airway
A
- head tilt, chin lift
- consider airway adjunct
- lying 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- identify the cause of bleeding
- temperature
7
Q
Immediate Care
A
- rub up a contraction
- medications/ treat the cause
8
Q
Trauma
A
- vaginal birth- suturing, treat hypovolaemic shock
- caesarean section- internal bleeding
9
Q
Tissue
A
- retained products- placenta
- manual removal
10
Q
Thrombin
A
- treatment of blood clotting- coagulation
11
Q
Syntocinon
A
5 IU- IV
10 IU- IM
- uterotonic
- MW exemption
12
Q
Ergometrine
A
- 500mcg- IV
- 500mcg- IM
- uterotonic
- caution with hypertension
- MW exemption
13
Q
Syntocinon Infusion
A
- 40 IU in 500mls of normal saline- IV
- 125mls/hr or 10IU/hr
- uterotonic
14
Q
Carboprost
A
- 250mcg- deep IM
- every 15 mins, up to 8 doses
- uterotonic
- caution with asthma
- 1st dose- MW exemption
15
Q
Misoprostal
A
- 800mcg- SL
- 1000mcg- PR
- uterotonic
- caution with cardiac condition
