Nursing measures for patients with heavy bleeding during ectopic pregnancy

Ectopic pregnancy is a common gynecological disease. Its greatest harm is the heavy bleeding caused by surgery and other reasons. If the patient does not receive timely and effective treatment, it may cause hemorrhagic shock and even endanger life.

1. Emergency Care

Urgently check blood routine, blood type, coagulation function, and prepare for blood transfusion. Raise the head and chest by about 15 degrees to facilitate airway patency, and raise the lower limbs by about 15 degrees to increase the amount of blood returning to the heart and increase the blood supply to the body's important organs; at the same time, immediately inhale oxygen with an oxygen flow rate of 4 to 6 L/rain to ensure smooth and effective oxygen inhalation and improve tissue hypoxia caused by low perfusion. Family members closely observe the patient's complexion and limb skin, and report any abnormalities to the doctor immediately.

2. Basic care

After emergency treatment, the patient should be kept in a supine position with the head tilted to one side to prevent saliva and vomit in the mouth from being inhaled into the trachea, causing suffocation or aspiration pneumonia. Family members should help the patient clean the vulva every day to prevent retrograde infection, and turn the patient over regularly to prevent bedsores. The dressing should be kept clean and dry, and any fresh bleeding should be observed. The pad should be replaced in time if it is contaminated, and a doctor should be notified if there is excessive bleeding.

3. Psychological care

Postoperative pain often leads to psychological problems such as insomnia, anxiety and autonomic dysfunction. While taking analgesics as prescribed by doctors, family members should pay more attention to patients, have heart-to-heart talks with them and divert negative emotions. The most urgent thing for patients after surgery is to understand whether the surgery is consistent with the diagnosis, whether it is successful, and whether it will affect fertility. Medical staff can explain patiently, so there is no need to worry about affecting subsequent pregnancy and fertility, and eliminate patients' fears so that they can actively cooperate with the treatment of patients.

4.Diet care

During the postoperative recovery period, the patient's dietary nutrition should be strengthened, and a high-protein, high-calorie, high-vitamin, easily digestible diet should be given to correct anemia and improve the body's resistance.