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Amniotic fluild embolism, ⬇️, ⬇️, ⬇️, ⬇️, ⬇️, ⬇️, ⬇️, ⬇️,…
Amniotic fluild embolism
Causes and supporting factors
Dead fetus in utero for a long time.
Placental abruption
MR (membrane rupture)
Other factors such as rupture of vasa previa
Uterine contractions,interval and intensity
Pathological
Contraction of pulmonary veins :
Blood that flowed from the lungs to the left half of the heart immediately decreased.
Anaphylactoid reaction
Cardiogenic shock
Occlusion of the small arteries in the lungs
Increased pressure in the pulmonary artery.
Amniotic fluid leaks into the mother's bloodstream.
The right heart cannot squeeze the blood through the lungs.
Hypoxia,(DIC:disseminated intravascular coagulation)
Signs and symptoms
Pulmonaly edema
Cough and Pink frothy sputum
Cyanosis
Hypotension
Dyspnea,Chill,Diaphoresis,Cardiopulmonaly
DIC:disseminated intravascular coagulation
The effect
Mom
Bleeding, shock, death
DIC:disseminated intravascular coagulation
respiratory failure
Fetal
Hypoxia
Respiratory failure,Circulatory system failure,Heart failure
Diagnosis
Physical examination
shock,Respiratory failure,
Circulatory system failure, Heart failure
History taking
Pregnancy history,Delivery history
Laboratory examination
Blood ges, PT, PTT, Platelet count, Fibrinogen level, Hemoglobin, Hematocrit, EKG, Chest-X-ray
Nursing care
Uterine contraction, FHS
I/O
Vital signs, CVP
Check the condition of blood clotting
NPO, IV, Oxygen
Provide mother and child resurrection equipment
Fowler's Position
Beware of postpartum hemorrhage
Explain to the mother and family about the condition.
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นางสาวทิพย์สุดา สนิทพจน์ รหัสนักศึกษา 601410067-1
