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What are nursing interventions for hemorrhaging?

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Nursing interventions for hemorrhaging include assessing the patient for signs of a hematoma formation, wound drainage, and decreased levels of RBC, Hct, and Hb, according to Elsevier Health. Nurses may also apply ice packs and maintain a pressure bandage over the site of the surgical wound.

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For postpartum hemorrhaging, nurses or doctors may use one hand to push down on the stomach and the other hand to apply pressure to the uterus, recommends NYU Langone Medical Center's Department of Pediatrics. Doing this causes the uterus to contract, which has the effect of slowing down any bleeding. This maneuver is referred to as a bimanual uterine massage. One clear sign of postpartum hemorrhaging is heavy vaginal bleeding. Other signs include a decrease in blood pressure or a feeling of lightheadedness.

Another nursing intervention consists of applying additional pressure to the surgical or wound site by placing a sandbag on the area for 24 to 48 hours after surgery or injury, says Elsevier. Nurses may also maintain patency of a wound drainage system. Treatment of any type of hemorrhaging depends on the severity of the bleeding. In some cases, NYU Medical Center warns, surgery may be necessary to stop bleeding, and in severe cases of hemorrhaging, a person may need to be resuscitated or may require a blood transfusion.

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