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Postpartum Hemorrhage - Coggle Diagram
Postpartum Hemorrhage
Assessment
Vitals
Pulse 110
BP 80/50
Resp 20
Temp 101.3F
O2 Sat 93%
Labs
Hgb/Hct: 8.2/25%
WBC 14,960
Platelets 82,320
PT 17
Blood Type O+
DX: Fluid Volume Deficit R/T Blood Loss AEB Decreased Hgb/Hct
Desired Outcome: Patient Vitals Will Be WNL In 24 Hours Time
Interventions
Massage The Fundus
Give Oxytocin As Prescribed:10 Units
Assess Amount Of Bleeding By Counting And Weighting Pads. Noting: Color, Order, Consistency, And Amount
Administer RBC's
Goals
Short Term: Correct Fluid Volumes To WNL
Evaluation: Patient Labs Reflect Normal Levels
Long Term: Maintain Adequate Blood Volume
Evaluation: Labs Reflect Normal Ranges
DX: Knowledge Deficit R/T Lack Of Exposure AEB Being A First Time Parent
Desired Outcome: Patient Actively Participates In Learning And Demonstrates Proper Infant Care By Discarge
Interventions
Initiate Bonding Between Mother And Baby
Teach Breastfeeding Techniques
Teach How To Properly Bathe And Dress Baby
Give Information In Manner That Best Suits Patients Learning Style
Goals
Short Term: Learn Basic Child Care
Evaluation: Patient Demonstrates How To Preform Tasks
Long Term: Patient Is Confident In Parenting Knowledge
Evaluation: Patient States Feeling Like She Will Be A Good Mother
DX: Risk For Infection R/T Decreased Hemoglobin
Desired Outcome: Remain Free Of Infection
Interventions
Monitor Vitals
Educate And Emphasize Importance Of Proper Hand Hygiene
Teach Proper Peri Care
Review WBC Count, Hct And Hbg Levels
Goals
Short Term: Patient Stays Free From Infection During Stay
Evaluation: Patient Does Not Develop Infection
Long Term: Patient Learns Life Long Infection Prevention Techniques
Evaluation: Patient Verbalizes Importance Of Infection Prevention
DX: Anxiety R/T Situational Crisis AEB Expressed Concerns Of Wellbeing And Wellbeing Of Infant
Desired Outcome: Patient States Feeling Relaxed Once Vitals Are WNL
Interventions
Encourage Her To Voice Her Feelings
Explain All Procedures
Provide A Calming Quiet Environment
Assess Vitals Often Explaining That They Can Exacerbate Feelings Of Anxiety
Goals
Short Term: Relieved Anxiety
Evaluation: Patient Verbalizes Little To No Anxiety
Long Term: Patient Develops Life Long Anxiety Coping Mechanisms
Evaluation: Patient Expresses And Demonstrates Proper Coping Strategies