Unique Plan Description: OB Intrauterine Balloon Tamponade for Postpartum Hemorrhage
Plan Selection Display: OB Intrauterine Balloon Tamponade for Postpartum Hemorrhage
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-21 19:23:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 10:23:08
Available at all facilities: Yes

OB Intrauterine Balloon Tamponade for Postpartum H
Activity
	Bedrest
		T;N
Diet
	NPO
		T;N
Medications
	Ancef IVPB
		2,000 mg, Injection-Premix, IVPB, Q8H, Surgical prophylaxis, 24 hr
	Ancef IVPB (FH)
		2,000 mg, Injection-Premix, IVPB, Q8H, Surgical prophylaxis, 24 hr
Patient Care
	Foley Catheter
		T;N, Insert, Pt. undergoing abdominal/pelvic surgery, Once
	Intrauterine Balloon Management
		T;N, Do not perform fundal massage while intrauterine balloon in place. Fundal height to be marked with permanent marker after placement of intrauterine balloon.
		T;N, Vital signs and fundal height/tone Q5min during procedure, then q5min x 6, , then q15min x 4, then q30min x2, then q1h x 4, then q4h until intrauterine balloon removed. Temp q4h.
	Notify MD
		T;N, If fundal height increases more than 4cm with or without bleeding
	Intrauterine Balloon Management
		T;N, Hourly assessment of intrauterine balloon catheter output
		T;N, Perform eQBL on peripads Q1H x 4, then Q4H until removal of intrauterine balloon
		T;N, If eQBL >250ml in an hour or 500ml cumulative blood loss since placement of intrauterine balloon
		T;N, May irrigate catheter for patency as needed with no more than 20ml of sterile saline solution which does not contain an anticoagulant
	Notify MD
		T;N, If tubing becomes clotted
	Intake and Output
		T;N, Q1H, 4, Dose(s)/Time(s)
		T;N +240, Q4H-Sch
			Comment: until removal of Intrauterine balloon

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