A boggy uterus, an unexpectedly elevated fundus on palpation, and profuse lochia are all indicators of uterine atony. The nurse must report a PPH right away and get ready to administer intravenous fluids and oxygen while inserting a large-bore intravenous catheter if one isn't already there.
Continue massaging and giving uterotonics to a swampy uterus to promote uterine contraction. Give 20–40 units of oxytocin, an analog of the hormone with the same name found in the body, in 1 L of lactated Ringer (LR) at a rate of 600 mL/h to sustain uterine contraction and manage hemorrhage. (b) Firmly massage the fundus if it is squishy (do not over-massage, this fatigues the muscle). (c) Until the patient's vital signs are stable, check on them every 15 minutes. (d) Avoid bladder enlargement.
Pyruvate it turns into lactate almost immediately.
Explanation:
The anaerobic glycolytic system has 10 steps but they happen very fast. The end product is pyruvate but it turns into lactate almost immediately. Pyruvate turns into lactate so quickly that some refer to this system as the lactic or lactate system.
