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Zorluk: OrtaAnte/Intra/Postpartum and Newborn Care

During a routine assessment on the maternal-newborn unit, the registered nurse monitors a client who experienced an uncomplicated spontaneous vaginal birth earlier in the shift. To accurately evaluate for hemorrhage, the nurse implements quantitative blood loss (QBL) measurement protocols. The nurse collects the used chux pads and peripads and places them on a scale. The scale displays a total weight of 1,240 g1,240\text{ g}. The standard dry weight of these identical items is 315 g315\text{ g}.

Calculate the client's quantified blood loss in milliliters (mL\text{mL}).

Cevap: 925 mL

Cevap

925
Quantitative blood loss (QBL) provides an objective and accurate measurement of maternal bleeding compared to visual estimation. The process requires finding the net weight of the blood by subtracting the known dry weight of the collected items (315 g315\text{ g}) from the total weight of the blood-soaked items (1,240 g1,240\text{ g}), which results in 925 g925\text{ g}. Because 1 gram1\text{ gram} of blood weight is clinically equivalent to 1 milliliter1\text{ milliliter} of blood volume, 925 g925\text{ g} translates directly to 925 mL925\text{ mL} of blood loss.

Adım Adım Çözüm

1
Determine the net weight of the blood by subtracting the dry weight of the materials from the total weighed amount.
1,240 g−315 g=925 g1,240\text{ g} - 315\text{ g} = 925\text{ g}
Subtracting the dry weight ensures that only the fluid volume is being calculated for blood loss.
2
Convert the net weight in grams to a volume measurement in milliliters.
925 g=925 mL925\text{ g} = 925\text{ mL}
In obstetrical clinical practice, the standard conversion for quantifying blood loss is 1 gram1\text{ gram} of weight equals exactly 1 milliliter1\text{ milliliter} of volume.

Anahtar Kavram

Quantitative Blood Loss (QBL) Measurement and Calculation
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