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    Post Partum Hemorrhage Nursing Care Plan PDF

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    A sison
    The nursing diagnosis is fluid volume deficit due to postpartum bleeding. Short term goals are for the client to maintain normal fluid volume and vital signs. Nursing interventions include assessing lochia flow and vital signs every 2 hours, administering IV fluids as needed, monitoring lab results, and teaching perineal care. The expected outcome is stabilization of vital signs and lab results within a week, with the client understanding postpartum care.

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    Post Partum Hemorrhage Nursing Care Plan PDF

    Uploaded by

    A sison
    549 views2 pages
    The nursing diagnosis is fluid volume deficit due to postpartum bleeding. Short term goals are for the client to maintain normal fluid volume and vital signs. Nursing interventions include assessing lochia flow and vital signs every 2 hours, administering IV fluids as needed, monitoring lab results, and teaching perineal care. The expected outcome is stabilization of vital signs and lab results within a week, with the client understanding postpartum care.

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    279096417-Post-Partum-Hemorrhage-Nursing-Care-Plan.pdf

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    The nursing diagnosis is fluid volume deficit due to postpartum bleeding. Short term goals are for the client to maintain normal fluid volume and vital signs. Nursing interventions include assessing lochia flow and vital signs every 2 hours, administering IV fluids as needed, monitoring lab results, and teaching perineal care. The expected outcome is stabilization of vital signs and lab results within a week, with the client understanding postpartum care.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    549 views2 pages

    Post Partum Hemorrhage Nursing Care Plan PDF

    Uploaded by

    A sison
    The nursing diagnosis is fluid volume deficit due to postpartum bleeding. Short term goals are for the client to maintain normal fluid volume and vital signs. Nursing interventions include assessing lochia flow and vital signs every 2 hours, administering IV fluids as needed, monitoring lab results, and teaching perineal care. The expected outcome is stabilization of vital signs and lab results within a week, with the client understanding postpartum care.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Nursing Diagnosis: Fluid Goals/ objectives: Nursing Interventions Rationale Evaluation

    Volume Deficit

    Possible Etiologies: Nursing Actions  That is to note how Outcome Criteria:


    (Related to) Short term goal: much blood loss the
     Assess uterine client is  Client’s pulse is
     Uterine Atony  Client will contraction and lochia experiencing and to between 80 to 100
     Lacerations maintain fluid flow every 2 hours. prompt for beats per min and
     Retained placental volume at a  Assess vital signs and immediate blood pressure is
    fragments functional level as note for peripheral intervention. 110/60 mmHg,
     Disseminated evidenced by pulses.  Changes in BP and lochia slows to
    intravascular individually  Note client’s pulse may be used moderate amount of
    coagulation adequate physiologic response for rough estimate flow with no large
     Subinvolution of haemoglobin, to blood loss. of blood loss. clots, uterus is firm
    uterus hematocrit  Keep accurate record Postural and haemoglobin
    laboratory results, of subtotals of hypotension reflects level is above
    Defining characteristics: stable vital signs, solutions/ blood a decrease in 11g/L.
    (Evidenced by) adequate urine products during circulating volume.  Client verbalizes
    output, good replacement therapy.  Symptomatology understanding of the
     Blood loss more uterine  Maintain bed rest and may be useful in causative factors
    than 500 ml contractility, good schedule activities to gauging severity of and purpose of
     Heavy lochia flow skin turgor and provide undisturbed bleeding episode. interventions and
     Increased capillary refill rest periods.  Potential exists for medication;
    temperature due to after one week.  Keep fluids within over transfusion of participates in
    uterine infection reach of client. fluids, especially procedures without
    predisposing to  Teach client perineal when volume hesitations;
    uterine atony Long term goal: self- care. expanders are given attentive and
     Elevation of pulse Client will demonstrate  Encourage client to prior to blood monitors own vital
    rate indicating behaviours do Kegel’s exercises transfusion. signs upon
    hypovolemia every 4 hours.  Activity may assessment; and
     Sudden drop in  Administer fluids/ predispose to further follows restrictions
    blood pressure volume expanders as bleeding. applied.
    implying indicated.  To encourage fluid
    hemorrhage  Replace blood intake
     Pain in the perineal products as ordered  To prevent
    sutures by the physician. development of
     Decreased uterine  Administer perineal infections.
    contractility methylergonovine as  It helps improve the
     Drop in the prescribed by the blood supply in the
    haemoglobin and physician. perineal area.
    hematocrit  Monitor laboratory  Fluid replacement
    laboratory results studies (haemoglobin with isotonic
     Decreased urine and hematocrit, crystalloid solutions
    output creatinine/ BUN) depends on the
     Pallor, easy  Assist in the degree of
    fatigability, anxiety preparation for hypovolemia and
    surgery specifically duration of bleeding.
    hysterectomy.  Fresh whole blood,
    platelets and fresh
    frozen plasma are
    usually given to
    patients depending
    on severity of blood
    loss.
     This drug helps in
    the contraction of
    the uterus.
     Helps in monitoring
    the effectiveness of
    the therapy;
    malfunction in the
    kidneys may
    indicate major
    bleeding episodes.
     It is the most
    effective in halting
    bleeding especially
    an extremely atonic
    uterus.

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