T4-Hemorrhagic Disorders Flashcards
What are symptoms of shock?
- Rapid thready pulse
- Pallor
- Hypotension
Symptoms of shock are -Rapid thready pulse
- Pallor
- Hypotension
What do we see first? last?
First we see the rapid, thready pulse. One of the last things to see is hypotension
Painless cervical effacement and dilation that is not associated with contractions
Incompetent cervix
What do we do for incompetent cervix?
Cerclage methods
- Shirodkar
- McDonald procedure
Cerclage methods: What is shirodkar?
Ligated submucosa around cervix
Cerclage methods: What is McDonald procedure?
Purse-string suture
Who is a candidate for cervical cerclage?
- Membranes intact
- If they have history of abortions/miscarriages in 2nd trimester
Prophylactic cerclage is placed at ____ weeks on pts known to have prior short cervix or spontaneous miscarriages
11-15 weeks
Discharge home after cerclage procedure..What do they need to know?
- Monitor for s/s of preterm labor/infection (PROM, fever greater than 100.4, contractions, decreased fetal mvnt)
- They may get antibiotic or anti-inflammatory
- If labor begins, they may get tocolytics
- Sutures MUST be removed before bag birth is accomplished!!
If a patient who had a cerclage procedure calls and says they are in labor, what do we tell them?
To come on in to have sutures removed
What is most common site for ectopic preg?
FT
If there is an ectopic pregnancy, as it grows it can rupture causing severe hemorrhage, collapse, and death. This is a medical emergency! This reduces the chance of what and why?
Reduces chance of other pregnancies bc of damage or destruction of a FT
STD and PID are risk factors for ectopic pregnancies because it causes scarring. What STD especially mentioned is a major risk?
Gonorrhea!
What are symptoms of ectopic preg?
- Positive preg test
- Vag spotting or severe bleeding
- Sharp abdominal pain that is UNILATERAL; also this pain may radiate to the shoulder
How is diagnosis of ectopic pregnancy confirmed?
Transvaginal ultrasound
