How do you manage an atonic uterus?
Table of Contents
How do you manage an atonic uterus?
Treatment for Atony of the Uterus
- uterine massage, which involves your doctor placing one hand in the vagina and pushing against the uterus while their other hand compresses the uterus through the abdominal wall.
- uterotonic drugs including oxytocin, methylergonovine (Methergine), and prostaglandins, such as Hemabate.
How do we care for uterine atony?
Uterine atony can usually be managed by manual massage of the uterus, along with medications to promote uterine contractions (called uterotonic drugs).
What is the priority nursing intervention for uterine atony?
The best safeguard against uterine atony is to palpate the client’s fundus at frequent intervals to ensure her uterus remains contracted. The fundus should be firm to compress the bleeding vessels at the placenta site.
How is atonic PPH treated?
Pharmacologic management of atonic PPH includes the use of oxytocin, ergometrine and prostaglandins. Intravenous oxytocin is the preferred initial agent in PPH treatment, regardless of whether a prophylactic dose was administered.
What nursing interventions are necessary when there is increased postpartum bleeding?
Nursing Interventions Save all perineal pads used during bleeding and weigh them to determine the amount of blood loss. Place the woman in a side lying position to make sure that no blood is pooling underneath her. Assess lochia frequently to determine if the amount discharged is still within the normal limits.
What nursing interventions are used to treat postpartum hemorrhage?
Treatment for postpartum hemorrhage may include:
- Medication (to stimulate uterine contractions)
- Manual massage of the uterus (to stimulate contractions)
- Removal of placental pieces that remain in the uterus.
- Examination of the uterus and other pelvic tissues.
What medication is given for uterine atony?
Oxytocin (Pitocin) can be given IV 10 to 40 units per 1000 ml or 10 units intramuscularly (IM). The rapid undiluted infusion may cause hypotension. Methylergonovine (Methergine) given IM 0.2 mg. Given every 2 to 4 hours.
Which medication is used to treat a patient with atonic uterus?
Uterotonic agents such as oxytocin are employed in conjunction with manipulative techniques such as uterine massage and balloon tamponade to treat atony of the uterus.
What are priority nursing interventions for postpartum hemorrhage?
WHO guideline on PPH?
The use of an effective uterotonic for the prevention of PPH during the third stage of labour is recommended for all births. 2. In settings where multiple uterotonic options are available, oxytocin (10 IU, IM/IV) is the recommended uterotonic agent for the prevention of PPH for all births.
How does the nurse assess for uterine atony?
In the first 24 hours after delivery, the nurse should be alert to the signs and symptoms of uterine atony and postpartum hemorrhage, which include a soft, boggy uterine fundus, a fundus that quickly loses firmness after massage, a fundus that is not midline or above the level of the umbilicus, excessive lochia, or …
Which type of medication is used to decrease excessive bleeding and uterine atony?
You may be given medications to help induce contractions if uterine atony is the cause of the bleeding. The most common drugs used are oxytocin, methylergonovine or prostaglandins like carboprost or misoprostol.
What are nursing interventions for hemorrhage?
The following are the therapeutic nursing interventions for patients at risk for bleeding….Nursing Interventions.
| Interventions | Rationales |
|---|---|
| Let the patient use normal saline nasal sprays and emollient lip balms. | These treatments reduce drying and cracking of mucous membranes and therefore reduce the risk of bleeding. |
How does oxytocin stop bleeding?
In low-income countries, drugs to prevent or treat postpartum haemorrhage (uterotonics) are not always available. Oxytocin is one such drug. Oxytocin prevents excessive postpartum bleeding by helping the uterus to contract.
What is the priority management for a patient with hemorrhage *?
Blood tests and intravenous fluid resuscitation Preserving intravascular volume is an initial priority in the management of haemorrhage, and therefore vascular access is crucial during assessment and fluid resuscitation.
