Acute inpatient management of prolapsed uterus/vagina?
Hi folks!
I'll make this quick. Patient came to the ICU septic as hell, UTI, labs out of wack, airway tenuous. While admitting her I noticed her confusedly reaching for her groin. Elderly, very little information on PMHx, but I just had a feeling. I took a good look down there and low and behold was her vagina hanging out. It was completely contained within her labia, but it was cleeeeearly not where it should be.
My question is - what is the nursing management for this is in the acute inpatient setting? The MD was going to consult OBGYN to reduce it but they wouldn't be coming until morning. In cases like these, do we put petroleum gauze to keep it from drying out? Keep it contained with the labia if possible? Throw a little sugar on it (I kid, I know that's and only)?
Thanks all!