NURS 323 Lecture Notes - Lecture 15: Bradycardia, Analgesic, Hemorrhoid
11 Jan 2021
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Postpartum/puerperium/fourth trimester: from birth to 6 weeks post placental release: vaginal vessels tighten and clamp should be done q15 minutes for an hour, then every hour thereafter w/ c-section additions. Vs lab values levels of consciousness (q15 minutes if general anesthesia was used) returned feeling in legs (q15 minutes) surgical dressings. Causes of hemorrhage uncontracted uterus, which allows the large arteries of the placental attachment to open and bleed injury to the birth canal overdistension of the uterus weak, prolonged or rapid labour use of instruments/assistance devices placenta praevia. Fundus (first 24 hours) firm just above the umbilicus. Massage if not firm if unable to firm. apply pressure and massage to expel clots ensure bladder is emptied assess both sides should drop 1cm each day after the 2nd day should remain midline. Epistommy approximation hemorrhoids laceration not stretched to the anus use ice occasionally to still allow for healing ibuprofen often recommended if pain is not severe.
