Uterine Bleeding

Dysfunctional uterine bleeding(DUB) the most common cause of abnormal uterine bleeding is usually caused by estrogen. Treatment is usually with oral contraceptives.

Assessment

1. Monitor and document vital signs, especially blood pressure (BP) and heart rate (HR).

Changes in BP and HR can indicate hypovolemia, electrolyte imbalances, or compensation mechanisms. Irregular pulse and weak pulse may suggest electrolyte imbalances and hypovolemia.



2. Assess alteration in mentation/sensorium, such as confusion, agitation, or slowed responses.

Changes in mentation can result from electrolyte imbalances, acidosis, or decreased cerebral perfusion caused by fluid volume deficit.

Interventions and Rationale

1. Monitor vital signs routinely.

Changes in vital signs may be used as rough estimates to identify blood loss.



2. Monitor intake and output every 5-10 minutes.

Urine output gives an accurate basis of fluid status and to indicate the presence of fluid volume deficit.



3. Encourage patient to acknowledge and express fears.

Provides opportunity for dealing with concern, clarifies the fears and reduces anxiety to manageable level.