PPH

Question 1

dosing of uterotonics

Answer 1

Methylergonovine (Methergine), - 0.2 mg IM every 2-4 hours

15-methyl PGF-2 alfa (Carboprost, Hemabate), -0.25 mg IM every 15 minutes up to a maximum of 8 doses

Question 2

Initial management of PPH

Answer 2

bladder emptying, Bimanual, access, anesthesia

Question 3

Not responsive to initial therapy

Answer 3

Ultrasound for retained products

Eval for lacerations

Question 4

If surgery is needed after or during bleeding what labs should be evaluated?

Answer 4

plt <50,000 and fibrinogen <100 need to be corrected