Postpartum Hemorrhage
Sample —for ideas only. Your own case → Create.
| Assessment data (subjective and objective findings relevant to THIS diagnosis) | Goals / expected outcomes | Nursing intervention | Rationale | Evaluation |
|---|---|---|---|---|
| Patient exhibits signs of blood loss including pallor, rapid pulse, low blood pressure, dizziness, and fatigue. | Patient will maintain stable vital signs with adequate tissue perfusion as evidenced by BP within normal limits, pulse rate 60-100 bpm, and absence of dizziness. | Monitor vital signs frequently, including BP, pulse, respiratory rate, and oxygen saturation. | Early detection of hemodynamic instability allows prompt intervention to prevent shock. | Vital signs remain stable or improve after interventions. |
| Assess skin color, temperature, and capillary refill time regularly. | Changes in skin and perfusion indicate circulatory status and adequacy of cardiac output. | Skin color and temperature remain normal; capillary refill is less than 2 seconds. | ||
| Measure intake and output accurately to monitor fluid balance. | Fluid balance affects circulating volume and cardiac output. | Fluid balance maintained within normal limits. | ||
| Elevate legs to promote venous return if hypotension is present. | Improves venous return and cardiac output by increasing preload. | Patient reports feeling less dizzy; BP improves. | ||
| Administer IV fluids as ordered to restore circulating volume. | Restores intravascular volume to improve cardiac output and tissue perfusion. | Patient’s vital signs stabilize after fluid administration. |
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