Tuesday, December 24, 2019

What Kinds of Applications Are Described Here What...

Ninety percent of all postpartum hemorrhages are caused by uterine atony-that is, failure of the uterine muscles to contract normally after the baby and placenta are delivered. The blood vessels supplying the placenta during pregnancy are severed when the placenta separates from the wall of the uterus. The bleeding that results from these severed vessels normally stops when the uterus contracts, compressing the vessels. However, if the uterus doesnt contract enough, the bleeding can continue. Significant blood loss can result from a floppy, uncontracted uterus. Factors that may prevent the muscles of the uterus from contracting include the following: * prolonged labor; * the use of oxytocin (Pitocin) during labor; * general†¦show more content†¦That is, there is a desensitization or down regulation of oxytocin receptors. This in turn suggests that in long augmented labors, additional oxytocin may not be beneficial. Therefore, early in these cases, one should consider switching to alternative uterotonic agents in the presence of excessive bleeding. The most common side effects of large bolus doses of oxytocin include nausea, vomiting and hypotension. The decrease in BP is transient, is accompanied by a reflex tachycardia and, in turn, an increase in cardiac output. Because of the transient nature of the hypotension, it is well tolerated in the healthy obstetrical population. However, caution is advised in patients with pre-existing cardiac disease in whom an increase in heart rate or cardiac output might be detrimental or in patient s suffering from hypovolemic shock. 2. Ergonovine Maleate Ergot is usually the second line drug for the treatment of uterine atony. It increases uterine tone through direct alpa-adrenergic stimulation. It is frequently administered intramuscularly in a dose of 0.25 mg but can be given by a slow intravenous injection of 0.125 mg. Too rapid administration can result in severe nausea, vomiting and retching as well as severe hypertension. The onset of action is 3-5 minutes. In contrast to oxytocin which is sometimes administered with the anterior shoulder, Ergot should not be administered before the placenta is delivered as this has been shown to cause anShow MoreRelated1. What Kinds of Applications Are Described Here? What Business Functions Do They Support? How Do They Improve Operational Efficiency and Decision Making? I Believe the Kind of Applications That Was Described in the1361 Words   |  6 Pages MIS in Your Pocket Q1: The applications are described in this case are e-mail, calendar and contacts from Microsoft Exchange ActiveSync. 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