#Retained placental fragments serial#
#Retained placental fragments skin#

Inform the client that this drug passes into breast milk and its use is contraindicated during pregnancy.

Keep AquaMEPHYTON (vitamin K) on hand in case of Coumadin overdose.

Obtain baseline coagulation studies while on therapy.

Women on anticoagulant therapy should not be given estrogen or aspirin.

Monitor for the following side effects hemorrhage, bruising urticaria, and thrombocytopenia.

Inform the client that this drug does not pass into breast milk.

Avoid IM injections to avoid formation of hematomas.

Assess client for bleeding from nose, gums, hematuria, and blood in stool.

Keep protamine sulfate readily available in case of heparin overdose.

#Retained placental fragments serial#

Obtain serial coagulation studies while the client is on therapy.Women on anticoagulopathy therapy should no be given estrogen or aspirin.Interferes with hepatic synthesis of vitamin K –dependent clotting factors (II,VII, IX, X).Assist the client and family to deal with physical and emotional stresses of postpartum complications. Be prepared for possible dilation and curettage (D&C).Ģ.Measure and record fluid intake and output.Administer medications and oxygen as prescribed.Prepare for intravenous infusion, oxytocin and blood transfusion, if needed.Monitor blood pressure and pulse rate every 5 to 15 minutes.Massage the uterus, facilitate voiding, and report blood loss.Prevent excessive blood loss and resulting complications.

#Retained placental fragments skin#

Signs of impending shock include changes in skin temperature and color, and altered level of consciousness.ġ.Vaginal bleeding is the obvious sign of postpartum hemorrhage amount and character vary with cause.The uterus is unable to form an effective clot structure and bleeding ensues or continues.

Delayed uterine atony or placental fragments prevent the uterus from contracting effectively.

Late postpartum hemorrhage occurs after the first 24 hours after delivery and is generally caused by retained placental fragments or bleeding disorders.

Early postpartum hemorrhage, which is usually due to uterine atony, lacerations, or retained placental fragments, occurs in the first 24 hours after delivery.

Postpartum hemorrhage is blood loss of more than 500 mL following the birth of a newborn.