What are the common side effects with the use of hemabate

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Reference no: EM133768181

Problem

Postparturn Hemonhage Janelle is a 40-year-old G65. She gave birth to a 9-pound healthy male infant via normal spontaneous vaginal delivery 3 hours ago. She has no medical problems. Her pregnancy history was normal. Her labor course was normal, although her membranes were ruptured for 24 hours before delivery. She had no lacerations at delivery. Her body mass index (BMI) is 36. Her vital signs are T 99.6° F; P 118 bpm; BP 120/70 mm Hg; R 20 breaths/min. She has an intravenous (IV) infusion of lactated Ringer (LR) solution 1000 with 20 units of oxytocin.

Task

A. What risk factors does Janelle have for postpartum hemorrhage?

B. The nurse performs an assessment of Janelle with the following additional findings: her uterine fundus is palpable 4 cm above the umbilicus and deviated to the right side; it is not firm; a large amount of vaginal bleeding and clots are noted saturating the obstetric pad. What is the nursing priority in this situation?

C. What causes other than uterine atony could be contributing to this postpartum hemorrhage?

D. The physician evaluates Janelle and finds no lacerations and orders carboprost tromethamine 250 mcg IM (intramuscularly). Why is this drug ordered?

E. What are the common side effects with the use of Hemabate?

F. What are the ongoing nursing assessments and education needed with Janelle?

Reference no: EM133768181

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