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Case scenario #1 – Labor and Post partum Complications (NCM 109)

A23 year-old, primigravida, primipara, met with PPH, about 3 hours after normal vaginal delivery (NVD). The blood was flowing in gushes, like a hydrant. During the way from the maternity ward to operation theatre, she almost collapsed with staring and fixed eyes, pallor, cold body, cold perspiration, and unconsciousness.

Assessment: On examination, her pulse was almost imperceptible due to very low volume, BP 20/00 mm Hg, SpO2 06, HR 110/m, RR 30/m, and rigors. The intensive care unit evoked and started combatting the crises. Central line oxygen perfusion, cardiopulmonary resuscitation, intravenous fluids with Ringer’s lactate and DNS (5% Dextrose with normal saline), Dopamine infusion, Noradrenaline infusion, and Hydrocortisone injection were immediately administered. Oxytocin, Methergine, and Tranexamic acid (TXA) injections were immediately given.All the bleeders in the womb were captured was ligated and compatible blood transfusion was started in the form of Packed RBCs.

 

1.     On the way to the operating room, the signs and symptoms manifested by the client indicate what complication of hemorrhage?

2.     What is the rationale of administering Dopamine infusion, hydrocortisone injection, oxytocin, methergine, and tranexamic to a client?

SCIENCE
HEALTH SCIENCE
NURSING
NURSING 101

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