Home
Flashcards
Preview
Trauma in preg
Home
Get App
Take Quiz
Create
Automatically remove your image background. Try it now!
https://remove-image-background.com
why does major trauma in preg require special consideration?
particularly during 3rd trimester- foetus >22 weeks is considered viable if delivered
may cause placental abruption
mother has enlarged internal organs and structures- pushing the diaphragm up and enlarging the abdominal cavity
what are the physiological differences with a preg women to non preg?
increased cardiac output by 20-30% in the first 10 weeks of preg
increased RR and effort as foetus enlarges
increased maternal HR by 10-15 bpm
decrease in bp by 10-15 mmHg
increased blood volume by up to 45%
what can a preg women tolerate more?
higher blood volume loss before showing signs of shock
what does the uterus act as?
reservoir for blood
think- what is revealed? what is concealed?
when does tachycardia set in in preg people?
at 30% blood loss
compared to 15% in non preg
what is the compensation for blood loss at the expense of?
compensation of blood loss occurs at the expense of the foetus
blood is shunted away from the foetus and towards the mothers vital organs
what are the signs and symptoms?
primary survey problems
Increased RR (first vital sign change to occur)
Increased HR >100
Abdominal pain
vaginal blood loss
reduced fetal movements
hypotension (last vital sign change to occur)
what should be noted in the assessment?
any shoulder tip pain
in a pregnancy >20 weeks gestation, what is there a risk of?
compressing the vena cava and aorta
reducing the blood supply to the foetus
how should a pt >20 weeks preg be placed?
left lateral tilt position to be transported
placing a support behind her buttocks
what happens if the pt is fully immobilised?
pt should be tilted at 15-30 degrees on the long board
when should manual uterine displacement be used?
when the pregnancy is >20 weeks gestation
what are some of the complications of trauma in pregnancy?
placenta abruption
bleeding
signs of shock
compression of inferior vena cava
2 patients to consider and treat
when may placenta abruption occur after trauma?
immediately
take 3-4 days to occur
any abdominal trauma in pregnancy must be conveyed
how would you recognise the deteriorating patient?
look for signs of shock
look for compensatory systems
reassess pt regularly- note and act on any changes to vital signs
Automatically remove your image background. Try it now!
https://remove-image-background.com
Author
davidgoddard93
ID
346946
Card Set
Trauma in preg
Description
Trauma in preg
Updated
2019-05-13T18:52:05Z
Show Answers
Home
Flashcards
Preview