Predisposing Factor Patient Is Multipara Multiple Gestation
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Predisposing Factor Patient is multipara Multiple gestation
• •
Uterus unable to contract
M: curettage
Brdikinin release
Soft and Boggy uterus
Retained placenta
Fibrin deposition
Activation of clotting cascade
Increase capillary permeability
Excessive bleeding Extravasations of fluid from capillary to tissue Saturated adult diaper with blood upon admission to ER
Kidney s begin to retain more sodium and water
Edema
Precipitating Factor Uterine Atony Home birth with no proper equipments
Swelling
M: D5LR with 20iu oxytocin N: Bi-manual Massage Cold Compress
Consumption of clotting factors and platelets
Decrease BP Increase PR Increase RR
Decreased urine output
M: Diuretics Low salt diet Fluid restriction N: Monitor I&O Elevate
: Legend Pathophysiology
Manifestation
Interventio n M: Medical N Nursing
Predisposing Factor Patient is multipara Multiple gestation
• •
Uterus unable to contract
M: curettage
Brdikinin release
Soft and Boggy uterus
Retained placenta
Fibrin deposition
Activation of clotting cascade
Increase capillary permeability
Excessive bleeding Extravasations of fluid from capillary to tissue Saturated adult diaper with blood upon admission to ER
Kidney s begin to retain more sodium and water
Edema
Precipitating Factor Uterine Atony Home birth with no proper equipments
Swelling
M: D5LR with 20iu oxytocin N: Bi-manual Massage Cold Compress
Consumption of clotting factors and platelets
Decrease BP Increase PR Increase RR
Decreased urine output
M: Diuretics Low salt diet Fluid restriction N: Monitor I&O Elevate
: Legend Pathophysiology
Manifestation
Interventio n M: Medical N Nursing
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