Following the vaginal delivery of a newborn, if the nurse observes a spurt of blood from the vagina, it would be documented as a sign of postpartum hemorrhage.
Postpartum hemorrhage is defined as excessive bleeding from the genital tract occurring within 24 hours after childbirth. It can be caused by various factors such as uterine atony (lack of uterine muscle tone), retained placental tissue, trauma to the birth canal, or coagulation disorders. Prompt recognition and management of postpartum hemorrhage are crucial to prevent further complications and ensure the mother's well-being.
Immediate interventions may include uterine massage, administration of uterotonic medications, and possibly surgical interventions if necessary.
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Compared To Warfarin (B) DOACs Should Be Used With Caution In Patients With Kidney And Liver Dysfunction. (C) DOACs Require Routine Blood Draws To Determine
Which of the following statements regarding Direct Oral Anticoagulants (DOACs) would the nurse question? Highlight or bold only one answer.
(a) DOACs have less drug-food interactions when compared to Warfarin
(b) DOACs should be used with caution in patients with kidney and liver dysfunction.
(c) DOACs require routine blood draws to determine therapeutic effects.
(d) DOACs are a fixed-dose regimen.
The statement regarding Direct Oral Anticoagulants (DOACs) which a nurse may question is (c) DOACs require routine blood draws to determine therapeutic effects.
Direct oral anticoagulants (DOACs) require less frequent monitoring and have fewer drug interactions than vitamin K antagonists (warfarin). These medications are frequently utilized in clinical practice since they do not require routine blood monitoring. They have a predictable anticoagulant effect and are administered at a fixed dose.
The statement that the nurse may question is (c) DOACs require routine blood draws to determine therapeutic effects since it is not accurate. DOACs do not require routine blood draws to determine their therapeutic effects, and they have a predictable anticoagulant effect. Since DOACs do not need routine blood draws, they are more convenient for patients to use than other anticoagulants such as warfarin that require frequent blood monitoring.
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