Nursing care for patients experiencing a spontaneous abortion varies depending on the type of spontaneous abortion. However, the primary nursing intervention for all types of spontaneous abortion is to ensure patient safety by identifying and controlling bleeding and hemorrhagic shock. Symptoms of hemorrhagic shock include an increased heart rate, decreased blood pressure, cool and clammy skin, lightheadedness, and confusion. The nurse should anticipate the need for oxygen therapy and fluid and blood replacement. The nurse may also be responsible for administering medications; for example, misoprostol (Cytotec) may be used to help in expelling the products of conception or to control bleeding. Patients should be blood-typed and cross-matched in case blood transfusion is necessary.