Flashcards in Week 4 Mo Parturient with Systemic Diseases Deck (149)
Management of an Acute Asthma Attack?
Beta 2 agonist + steroid + ipratropium
Systemic steroid (I/ V)
Aminophylline not helpful in control of severe acute attack
Management of Chronic Asthma disease?
Inhaled steroid as maintenance + inhaled Beta2 steroid for symptomatic control
Short course of oral steroid
most serious risk factor associated with surgery during pregnancy?
What position do you want to avoid with pregnant ladies and why?
Supine position due to uterine displacement causing supine hypotesion.
Decrease in what makes pregnant ladies prone to hypoxia?
What diffuses the plancenta rapidly?
lipid soluble substances
How will you prevent DVT during C/S?
prevent DVT with pneumatic compression stockings during C/S
MOST frequent complication of spinal and epidrual? How do you treat?
Hypotension is the most frequent complication of spinal and epidural; treated by
Left uterine displacement, IV hydration and ephedrine
Beta 2 agonist given to stop premature contraction?
S/E of ritodrine? (mom and fetus)
Mom: hypokalemia, hyperglycemia, tachycardia
Fetus: : hypokalemia, hyperglycemia, tachycardia (+/-)
Why avoid atropine with ritodrine?
can cause tachycardia leading to pulmonary edema
Mag sulfate and NMB, what's the issue?
Mag sulf increases sensitivity to both depolarizing and non-depolarizing muscle relaxant , therefore, decrease the dose
What does Lidocaine in high doses do to the uterus?
causes uterine vasoconstriction and increased tone.
ionized (can not cross, trapped in fetus)
base + base =?
un-ionized (can cross)
LA, base or acid?
What patients are considered "full stomachs" and are high risk for aspiration?
pregnant ladies (also traumas but that is not for this class)
What two medications can you give to pregnant ladies to help with their "full stomach"
H2 blockers and Reglan
MC morbidities are
What medication can cross the placental barrier, making regionals the preferred?
Lumbar epidural, what is it likely to do to MC?
Give ephedrine and IV fluid
Problems with GA while pregnant?
Rapid desaturation, laryngeal spasm/edema, aspiration
What anesthesia/analgesia will you use for C/S
Level of block for C/S is?
MC adverse effect of regional is hypotension, what will you give?
Give phenylephrine with fluid
Most common cause of polyhydramnios is?
What nerve is most commonly injured during the following surgeries/proceedures:
Abd hy = Femoral nerve
Vag. hy = peroneal nerve
Vag. delivery = Lumbosacral nerve
If you damage the peroneal nerve what will result?