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Manangan, Eugene B. - FDAR Boggy Uterus

This document summarizes the nursing care provided to 29-year old Mrs. AM who was admitted to the delivery room with heavy vaginal bleeding of over 500ml. The nurse established a therapeutic relationship with the patient, monitored her vital signs regularly, administered medications to stimulate uterine contractions and referred her to the doctor for evaluation and possible removal of placenta fragments. The nurse's interventions included massaging the uterus, applying ice packs, checking the fundal height and providing perineal care to watch for further bleeding and ensure the patient's comfort.

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Gin Manangan
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339 views2 pages

Manangan, Eugene B. - FDAR Boggy Uterus

This document summarizes the nursing care provided to 29-year old Mrs. AM who was admitted to the delivery room with heavy vaginal bleeding of over 500ml. The nurse established a therapeutic relationship with the patient, monitored her vital signs regularly, administered medications to stimulate uterine contractions and referred her to the doctor for evaluation and possible removal of placenta fragments. The nurse's interventions included massaging the uterus, applying ice packs, checking the fundal height and providing perineal care to watch for further bleeding and ensure the patient's comfort.

Uploaded by

Gin Manangan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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University of the Assumption

College of Nursing
City of San Fernando, Pampanga

Name: Mrs. AM Birthday: Age: _29___ Sex: ____Female____ Civil status: Married
Address: Sto. Domingo Mexico Pampanga Ward: __Delivery Room__________

DATE/Time FOCUS DAR


11/17/21  Soft and Boggy 6:00am to 2pm
10:00 am Uterus
D > Admitted 29 y/o Mrs. AM with cc of diaper pad
BP - 110/80 soaked with blood > 500ml and with a Soft and boggy
mm/hg uterus.
T - 37.1 ‘C
RR - 18bpm
HR - 69bpm A>
 Established therapeutic nurse interaction

 Assess patient’s general conditions

 Monitored vital signs every 4 hours and recorded

 V/S taken and recorded


 BP - 110/80 mm/hg
 T - 37.1 ‘C
 RR - 18bpm
 HR - 69bpm

 Administer Methergin 1 amp thru IM every 2 hour


for more two doses

 Administer oxytocin stimulate uterine muscle


contractions

 Refer back to DR personnel for possible removal of


placenta fragment and further evaluation

 Assess for fundic height

 Encourage to void before palpating

 Continuous massage the uterus and apply


Ice pack

 Watch out for profuse vaginal bleeding

 Perineal care, change peripad and gown

 Refer accordingly

 Review Mrs. AM chart showing that the first dose of


methergin was given to DR at 8:am so she has still 2
doses left to administer.

RESPONSE

Latest BP of 110/80, RR of 18

Eugene B. Manangan
UASN2024

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