产后大出血演练脚本(具体)

产后大出血演练脚本(具体)产后大出血的应急预案演练旨在提高医护人员处理突发事件的能力，考验他们的协调能力，并考核他们掌握产后出血急救流程。演练时间为2021年10月7日上午九点，地点为广德路院区妇产一科。在剖宫产术后，患者子宫收缩不良，阴道大量出血的情况下，医护人员应立即告知医生，给予子宫按摩，监测生命体征，遵医嘱予以缩宫素等止血剂应用，并向上级领导汇报。同时，给予保存导尿、氧气吸入和心理护理。在演练过程中，当患者出现阴道出血100毫升时，护士甲迅速请求支援，并安置患者平卧位头偏向一侧，给予氧气吸入、心电监护、保持患者呼吸道通畅，按摩子宫，遵医嘱立即给予腹部置冰袋6小时。护士乙推抢救车到病房配合急救，迅速建立第二条静脉，医生按摩宫底，给予患者卡孕栓2mg舌下含服，嘱给予患者NS250ml+缩宫素20u静滴，通知血库为患者备悬浮红细胞2u,血浆400ml。护士甲复述医生口头医嘱，医生确认无误后给药，护士乙做好用药记录及病情观察，医生将医嘱写在医嘱本上。护士乙行心电监护，快速报告患者生命体征，护士甲报告患者宫底脐下一指，腹软，持续按摩子宫，阴道出血100ml。At11:20,NurseCreturnedfromthebloodbankwithblood.ThedoctorandNurseAconfirmeditandimmediatelyadministered2unitsofsuspendedredbloodcells.NurseBreportedthebloodpressureas101/49mmHg,pulserateof91beatsperminute,andbloodoxygensaturationof98%(withoxygen).NurseAmassagedtheuterusandfoundthecervixonefingerbelowthenavelwithvaginalbleedingof100ml.Thepatientwasinstructedtobeobserveduntil5pm.At12:30,thepatient'sbloodpressurewas100/48mmHg,pulserateof90beatsperminute,andbloodoxygensaturationof98%.NurseAmassagedtheuterusandfoundthecervixonefingerbelowthenavelwithvaginalbleedingof100ml.Suspendedredbloodcellswerebeingadministeredandthepatientwasinstructedtobeobserved.At13:45,NurseBreportedthepatient'sbloodpressureas97/60mmHg,pulserateof81beatsperminute,andbloodoxygensaturationof98%.NurseAmassagedtheuterusandfoundthecervixonefingerbelowthenavel.Thepatienthad420mlofvaginalbleedingsincethesurgery.NurseAadministeredamuscleinjectionofergotamineandadripof250mlNS+20uofoxytocin,andcontactedfor2unitsofsuspendedredbloodcellsagain.Bloodcellanalysisandcoagulationroutineweretaken,andthevaginalbleedingwascloselyobserved.ThelaboratoryresultsshowedWBC:22.77*109,N:95.3%,HGB:131g/L,PLT150*109,D-dimer46.6mg/L,fibrinogenconcentration:2.61g/L,andanticoagulantthrombin3:73.3%.ThepatientwasinstructedtobeobservedcloselybyNurseA.At14:20,NurseBreportedthatthepatientwasconsciouswithabloodpressureof105/60mmHg,pulserateof66beatsperminute,andbloodoxygensaturationof98%.Thecervixwasonefingerbelowthenavelandtheabdomenwassoftwithvaginalbleedingof100ml.Thepatientwasinstructedtobeobserved.At16:10,NurseBreportedthatthepatient'sbloodpressurewas108/61mmHg,pulserateof86beatsperminute,andbloodoxygensaturationof97%.Thepatienthad1680mlofvaginalbleedingduringandaftersurgery.Fourunitsofsuspendedredbloodcellsand400mloffrozenplasmawereadministered,and4000mloffluidwasinfusedwithaurineoutputof1800ml.Bloodcellanalysisandcoagulationroutineweretakenimmediately.Thelaboratoryresultss