nursing care plan abortion
· Active fluid volume loss as seen in pad saturation, active vaginal bleeding
· Vital signs like increased RR, initially increased HR/PR and BP which eventually goes down if no compensatory mechanism
· Skin pallor
· Decreased urine output
· Slow capillary refill
· Change in mental state-confused/disoriented
· Dry oral mucous membranes
Fluid volume, deficient related to active fluid volume loss secondary to hemorrhage
Within 24 hours:
The patient will be able to maintain fluid volume at a functional level.
1. Assess causative factors ( test for pregnancy), retained fetal/placental parts.
2. Estimate fluid losses.
3. Assess vital signs.
4. Assess for physical signs of shock.
5. Assess/review laboratory data.
6. Correct/replace losses.
a. Assist in D&C in cases of inevitable , complete,incomplete,missed miscarriage
b. Limit activity for those with threatened abortion
c. Administer IV fluids and blood products/plasma expanders a s ordered
7. Monitor vital signs.
8. Maintain accurate I & O especially monitoring pad saturation
Within 24-48 hours patient will manifest:
1. Stable vital signs
2. Adequate urinary output with normal S.G.
3. Moist mucous membranes, good skin turgor, good skin color and fast capillary refill