Week 4 Mo Parturient with Systemic Diseases Flashcards Preview

SUM'20 - Advanced Principles > Week 4 Mo Parturient with Systemic Diseases > Flashcards

Flashcards in Week 4 Mo Parturient with Systemic Diseases Deck (149)
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121

Management of an Acute Asthma Attack?

Beta 2 agonist + steroid + ipratropium
Systemic steroid (I/ V)
Aminophylline not helpful in control of severe acute attack

122

Management of Chronic Asthma disease?

Inhaled steroid as maintenance + inhaled Beta2 steroid for symptomatic control
Add ipratropium
Consider aminophylline
Short course of oral steroid

123

most serious risk factor associated with surgery during pregnancy?

UTERINE ASPHYXIA

124

What position do you want to avoid with pregnant ladies and why?

Supine position due to uterine displacement causing supine hypotesion.

125

Decrease in what makes pregnant ladies prone to hypoxia?

decreased FRC

126

What diffuses the plancenta rapidly?

lipid soluble substances

127

How will you prevent DVT during C/S?

prevent DVT with pneumatic compression stockings during C/S

128

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

129

Beta 2 agonist given to stop premature contraction?

Ritodrine

130

S/E of ritodrine? (mom and fetus)

Mom: hypokalemia, hyperglycemia, tachycardia
Fetus: : hypokalemia, hyperglycemia, tachycardia (+/-)

131

Why avoid atropine with ritodrine?

can cause tachycardia leading to pulmonary edema

132

Mag sulfate and NMB, what's the issue?

Mag sulf increases sensitivity to both depolarizing and non-depolarizing muscle relaxant , therefore, decrease the dose

133

What does Lidocaine in high doses do to the uterus?

causes uterine vasoconstriction and increased tone.

134

base+acid =?

ionized (can not cross, trapped in fetus)

135

base + base =?

un-ionized (can cross)

136

LA, base or acid?

weak base

137

What patients are considered "full stomachs" and are high risk for aspiration?

pregnant ladies (also traumas but that is not for this class)

138

What two medications can you give to pregnant ladies to help with their "full stomach"

H2 blockers and Reglan

139

MC morbidities are
(mother/child)

Hemorrhage
Preeclampsia

140

What medication can cross the placental barrier, making regionals the preferred?

Opioids

141

Lumbar epidural, what is it likely to do to MC?

S/E hypotension
Give ephedrine and IV fluid

142

Problems with GA while pregnant?

Rapid desaturation, laryngeal spasm/edema, aspiration

143

What anesthesia/analgesia will you use for C/S

spinal/epidural

144

Level of block for C/S is?

T4

145

MC adverse effect of regional is hypotension, what will you give?

Give phenylephrine with fluid

146

Most common cause of polyhydramnios is?

esophageal atresia

147

What nerve is most commonly injured during the following surgeries/proceedures:
Abd hysterectomy
Vaginal hysterectomy
Vaginal delivery

Abd hy = Femoral nerve
Vag. hy = peroneal nerve
Vag. delivery = Lumbosacral nerve

148

If you damage the peroneal nerve what will result?

Foot Drop

149

Most COMMON cause of anethesia-related maternal mortality?

Airway complications