ACTIVE LEARNING TEMPLATE:
System Disorder
Bea Bedonia
STUDENT NAME______________________________________
Postpartum Hemorrhage
DISORDER/DISEASE PROCESS___________________________________________________________
Alterations in
Health (Diagnosis)
-massive bleeding and
hypovolemia
Pathophysiology Related
to Client Problem
Blood loss>1000mL after c/s
and >500mL for vaginal
delivery.
REVIEW MODULE CHAPTER____________
Health Promotion and
Disease Prevention
Postpartum meds and
bladder empyting
ASSESSMENT
SAFETY
CONSIDERATIONS
Risk Factors
Expected Findings
Uterine atony, overdistended
uterus, multiparity, mag sulf
therapy, lacerations and episotomy,
uterus inversion
Laboratory Tests
Change in lochia (more clots), inc
HR, dec BP, pallor, saturated pad in
15 mins or less.
Diagnostic Procedures
H/H, coags, Blood type, CBC, CMP
EBL by weighing saturapted puds,
chux and free blood.
PATIENT-CENTERED CARE
Nursing Care
Hemorrhage
Firmly massage the
uterine fundus, closely
monitor VS and bleeding
Therapeutic Procedures
IVF, Oxygen support
ACTIVE LEARNING TEMPLATES
-Weigh pads and
chux precisely
-Fundal
assessment and
massage
-Assess for bladder
distention
-Insert FC and
monitor I/O
Complications
Medications
LR or NS for
IVF; Blood
products;
albuminl;
oxytocin;
methergine;
tranexamic acid
Client Education
-Receive counselling if
needed, know s/sx of
excessive bleeding and
notify MD
Hypovolemic
shock, anemia,
DIC, organ
damage,
emergency
hysterectomy,
death
Interprofessional Care
OBGYN, Anesthesia,
Hematologist; PCP; Crit
Care
Therapeutic Procedure
A11