PP COMP PART 2 (THROMBO-CARDIO) Flashcards
- a blockage in one of the pulmonary arteries in the lungs
- caused by blood clots that travel to the lungs from
deep veins in the legs or, rarely, from veins in other
parts of the body
pulmonary embolism
s/sx of pulmonary embolism
SOB
sudden, knife-like chest pain
coughing blood
tachycardia, tachypnea
cyanosis
in pulmo embolism, when there is SOB you should?
adminster O2
pulmo embolism - auscultate for breath sounds ad presence of ___
crackles
pulmo embolism - assist with ___ and encourage ambulation
frequent position change
pulmo embolsim - bed rest with head ___
slightly elevated
pulmo embolism - always monitor ___ and ___
o2 sat and ABG
emergency medications for pulmo embolism
dopamine, streptokinase, urokinase
a medical procedure, either surgical or minimally invasive, to remove a blood clot (embolus) or other foreign material that has lodged in a blood vessel
embolectomy
true or false - Many anticoagulants can be used during breastfeeding because they do not
accumulate in breast milk
true
___ may be due to persistence of
antepartum or
intrapartum
hypertension or may
be of new onset
postpartum hypertension
Most cases of postpartum preeclampsia
develop within ___ hours of childbirth.
48
Postpartum preeclampsia sometimes develops up to six weeks or later after
childbirth known as late ___
postpartum preeclampsia
risk factors for postpartum preeclampsia
- high bp in recent pregnancy
- obesity
- multiples
- chronic high bp
- diabetes
- New onset postpartum preeclampsia is often
associated with ____ and ___
persistent headaches, visual changes
Cardinal symptoms are those of prenatal PIH:
proteinuria, edema, & hypertension
Seizures that occur postpartally as a symptom of eclampsia, typically develop ___ hours after birth
6-24
complications of postpartum preeclampsia
postpartum eclampsia
stroke
thromboembolism
HELLP
postpartum preeclampsia - what meds?
mag sul and antihypertensives
management for postpartum preeclampsia
bed rest
quiet atmosphere
monitoring of VS and UO
- Inflammation of the lining of a blood vessel
with the formation of blood clots - Usually an extension of endometrial
infection
thrombophlebitis
thrombophlebitis can be classified as
superficial vein disease
deep vein thrombosis
*Occurs with arterial spasm
often diminishing arterial
circulation, along with
edema giving the leg a
white or drained
appearance
* The femoral, saphenous, or
popliteal veins are involved
superficial leg vein disease or femoral thrombophlebitis
s/sx for femoral thrombophlebitis
- elevated temp, chills, redness of leg
- swelling of leg
- (+) homan’s signe
- shiny and white skin
how to diagnose femoral thrombophlebitis
doppler ultrasound
contrast venography
mgmt femoral thrombophlebitis
- bed rest, leg elevated
- anticoags
- moist heat
- analgesics, antibiotics
- wrinkle free linens
- Frequently seen in women with a history of
thrombosis
*Occurs between postpartum days 10 to 20
dvt
s/sx of dvt
- edema
- low grade fever then high temp
- pain in lower leg and foot
- inguinal tenderness
- pain in lower abd
- decreased peripheral pulse
Complete occlusion of deep veins resulting in pain, swelling and
whitening of the leg
phlegmasia alba dolens
Progression of the previous + occlusion of superficial veins + arterial flow
Ischaemia and gangrene
phlegmasia caerulea
- Complication that develops in conjunction with infection of
the reproductive tract - Involves the ovarian, uterine, or hypogastric veins
pelvic thrombophlebitis
- Occurs later than femoral thrombophlebitis, often around
the 14th or 15th day of the puerperium - Occurs around the 14th or 15th day of puerperium
pelvic thrombophlebitis
s/sx of pelvic thrombophlebitis
- extremely ill
- high fever
- malaise
- pelvic, lung, kidney, heart valve abscess
- presence of paremetrial mass
mgmt of pelvic thrombo
- total bed rest
- anticoags
- antibiotics
- laparotomy
true or false pelvis thrombo runs a course of 6-8 weeks, and may cause fertility problems
true
prevention of pelvic thrombo
- side lying or back lying birth
- do not sit with knees bent sharply
- dont wear constricting clothing
- ambulate asap
- support stockings
- Infection of the breast
- C.A. usually enter through cracked
& fissured nipples - C.A. usually come from the nasaloral cavity of the infant
mastitis
factors associated with the development of mastitis
- milk stasis
- multiplication of bacteria
- breast nipple trauma
- obstruction of ducts
- failure to empty breast
- lowered maternal defenses
s/sx mastitis
- localized pain
- swelling
- erythema
- fever
- scanty breast milk
mgmt mastitis
- antibiotics
- cont. BF
- cold compress for pain
- warm compress for inflammation
*Occurs postpartally when the
woman is unable to empty her
bladder
overdistention of bladder
s/sx of oversdistended bladder
- large pass displacing fundus
- vaginal bleeding
- boggy fundus
- cramping
- backache
- restlessness
*Occurs as a result of
inadequate bladder emptying
*If allowed to continue,
permanent damage may occur
from loss of bladder tone,
leading to permanent
incontinence
urinary retention
s/sx urinary retention
- does not void
- percussed or palpated bladder distention
*If a void is less than ___ml, urinary
retention should be suspected
100
*Dysuria
*Hematuria
* Feeling of frequency or that
she always has to void
* Low-grade fever
* Lower abdominal pain
UTI
mgmt of UTI
- amoxicillin, ampicillin
- increase OFI
- analgesics
Infection of the
peritoneal cavity
or inflammation
of the
peritoneum
peritonitis
Major cause of death from puerperal infection
pertonitis
- Common location of
abscess formation - Lowest point of the
peritoneal cavity
cul de sac of douglass
complication of peritonitis
- Paralytic Ileus
- Fertility Problems
s/sx peritonitis
- rigid abd
- abd pain
- high fever
- rapid pulse
- vomiting
the hallmark of peritonitis
diffuse abd pain
mgmt of pertonitis
- ngt insertion (paralytic ileus)
- ivf/tpn
- analgesics
- antibiotics
