UTERINE CRAMPS AND MODERATE BLEEDING

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UTERINE CRAMPS AND MODERATE BLEEDING

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9 Posts

sweetybokhari
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Topics: 118
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02/28/07 - 01:37 PM

a lady 33 weeks of gestation,admitted with uterine cramps and moderate bleeding.nurse started IV line and blood taken for grouping and cross match.what to do next ?
a) start another IV line
b)arrange for CS
c)start tocolysis
d)examine for cervical dialtaton
e)USS

robin082006
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02/28/07 - 01:40 PM

E

placental abruption

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DrPak
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03/04/07 - 09:20 AM

D... see where you stand with regards to her dilation. She might be headed for premature labour, so we need to check that.

vanshita
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03/04/07 - 09:33 AM

E
painful uterine crampa abrution placenta

NE
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03/05/07 - 02:55 PM

In a patient with late pregnancy bleeding you should perform ultrasound exam first and after digital/speculum exam (if the US didn't pick up placenta praevia).

Dr.Luck
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03/06/07 - 06:17 PM

I also selected see the cervical dilatation but U/S makes more sense after the above explanation to rule out placenta previa 1st before vaginal exam.

GOGETA
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04/14/08 - 07:38 PM

good question

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bioguy
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09/13/08 - 09:36 AM

vaginal exam may ppt the separation of pl previa. so always US in case of bleeding before vaginal exam

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nightflight1945
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Topics: 36
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09/13/08 - 03:11 PM

a) start another IV line
In a patient which is in shock or in danger of imminent shock , you should always have 2 large IV lines available .

In this patient the first priority is ABC then

US to rule out palcenta previa , and not to diagnose abruptio placenta

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