Nurse Advocate: Case Study with NCP: Postpartum Hemorrhage

 

postpartum hemorrhage case study

Start studying HESI Case Studies--Obstetrics/Maternity-Postpartum (Marie Wilson). Learn vocabulary, terms, and more with flashcards, games, and other study tools. Postpartum Hemorrhage Hypothetical Case Studies Wisconsin Association for Perinatal Care Case 1: Identification and intervention year-old G1 P0 female, admitted in active labor at 39 weeks with 3 cm dilatation after uncomplicated pregnancy. Patient has normal progress in cervical dilatation with a. ongoing assessment LABS: most recent [normal value] hysterectomy, or even death Time Lochia Flow Fundus Tucks Ice Packs Pad Change Voiding O2 10L/min to maintain >92% SpO2 Foley Catheter (strict I&O) NPO 2nd IV site (LR titrate mL/hr) VS Q5 mins until stable, then Q mins.


Postpartum Hemorrhage Clinical Reasoning Case Study - KeithRN


A year-old female G1P1 is readmitted two weeks post—vaginal delivery due to increased vaginal bleeding. She reports that the bleeding began on the tenth day after delivery and has increased in severity each subsequent day, postpartum hemorrhage case study.

The delivery was uncomplicated with minimal blood loss and the patient did not receive any epidural anesthesia. She has taken mg of ibuprofen daily since delivery. The patient reports a medical history of iron deficient anemia due to menorrhagia. She is adopted and does not know her family history. Since admission, the patient has received three units of blood.

The obstetrics team has ruled out retained placental tissue and uterine atony as the cause of bleeding. Her laboratory values are as follows:. This patient is presenting with secondary postpartum hemorrhage with a clinical and laboratory history suggestive of von Willebrand disease vWD. Overall, there is a 20 percent risk of peripartum bleeding with vWD, and 75 percent of women with moderate to severe vWD can experience severe bleeding. Bleeding can be seen from any type of vWD.

For women with mild forms of vWD, the peripartum period can be the first manifestation of the disease. During pregnancy both factor VIII and von Willebrand factor vWF levels increase, with peaks at 29 to 32 weeks gestation and at 35 weeks gestation, respectively.

Prophylaxis and treatment of vWD during pregnancy is based upon the severity of disease and specific type of vWD. Acquired factor VIII inhibitors are a rare but serious cause of secondary postpartum hemorrhage. Disseminated intravascular coagulation is an important cause of post-partum hemorrhage. Significant prolongations of the aPTT and PT as well as low fibrinogen levels are necessary to make the diagnosis. Microangiopathic hemolytic anemia may occur in the peripartum period and is associated with low hemoglobin and platelets.

However, this diagnosis results in manifestations of microvascular thrombosis rather than hemorrhage. Case study submitted by James N. Access an extensive online library of screen-sized blood disease images and cases postpartum hemorrhage case study educational use. Apply for one of the many hematology awards and training programs offered by ASH to support hematologists in all stages of their careers.

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Support Medical Research. Highlights of Postpartum hemorrhage case study. Meeting on Hematologic Malignancies. The Hematologist. ASH Clinical News. For Trainees. ASH Image Bank Access an extensive online library of screen-sized blood disease images and cases for educational use, postpartum hemorrhage case study. Learn more. ASH Awards Apply for one of the many hematology awards and training programs offered by ASH to support hematologists in all stages of their careers.

 

Case Study: Postpartum Hemorrhage by Cheryn Bejar on Prezi

 

postpartum hemorrhage case study

 

Mar 05,  · Obstetrical Simulation: Unfolding Case Study on Postpartum Hemorrhage. March 5, August 13, and case study of a new mother with a postpartum complication are given. Students demonstrate skills on a manikin as the case study progresses. Questions about the situation are posed during the debriefing, to encourage critical thinking and. Simulation: Postpartum Hemorrhage (Uterine Atony) Example Case Scenarios CLINICAL SCENARIO #1 Mrs. Blynch is a 30y/o G3P who just delivered a gram male infant by spontaneous vaginal delivery. The placenta delivered spontaneously but your nurse is concerned with the amount of bleeding she is seeing. The patient did not have an. Postpartum Hemorrhage Clinical Reasoning Case Study $ – $ Prepare your students for licensure and real-world practice with this salient scenario that contextualizes nursing care and priority setting with an OB patient who experiences a postpartum hemorrhage.