-Fundal assessment: Soft and boggy, above the umbilicus, and deviated to the right.
m
er as
-Lochia Assessment: Moderate - 1240 mL, lochia rubra, stale and musty odor, and consistency is
epitheal cells, RBC, WBC, bacteria, shreds of decidua, fetal meconium, lanugo (baby hair), vernix
co
eH w
caseosa, and small clots.
o.
-Pain: Abdomen, severe, sharp, sudden pain, 5 on a scale of 0-10.
rs e
ou urc
2. Write the situation-background-assessment-recommendation (SBAR) communications you
would use to update the provider on Ms. Sanogo’s status after your first encounter with her.
o
Hello, this is Jessica from postpartum, I am the nurse for your patient Fatime Sanogo. She is a 23
aC s
year old Hispanic female. She is experiencing a postpartum hemorrhage. The vital signs are,
vi y re
heart rate 123/bpm, pulse is tachycardia and weak, blood pressure is 93/50 mmHg, respirations
are 21, SpO2: 94%, temperature is 37 C. She is conscious. She has experienced blood loss of 800
mL in 25 mins.. Pain scale is 5 out of 10. She needs interventions to stop the bleeding.
ed d
3. Document the medication(s) you administered to Ms. Sanogo and evaluate each drug’s
ar stu
effectiveness.
2 mg butorphanol tartrate IV
is
500 mL lactated Ringer’s solution IV 5 minutes
Oxytoxcin postpartum 500 mL/hr
Th
800 mcg dose misoprostol
5 mg morphine IV
sh
4. Document the sequence of events during the simulation (i.e., vital signs, assessment findings,
blood loss, nursing interventions, and patient response).
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