Week 4 OB Complications & VBAC - Exam 2 Flashcards Preview

SUM'20 - Advanced Principles > Week 4 OB Complications & VBAC - Exam 2 > Flashcards

Flashcards in Week 4 OB Complications & VBAC - Exam 2 Deck (135)
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61

leading cause of maternal mortality worldwide.

Peripartum hemorrhage remains a

62

During cesarean delivery with neuraxial anesthesia, ECG changes have a reported frequency of 25% to 60%; in this setting, administration of droperidol, ondansetron are associated with...

oxytocin may be associated with....

prolongation of the QT interval,

oxytocin administration may be associated with ST-segment depression.

63

The addition of sodium bicarbonate 1 mEq/10 mL to lidocaine 2% with epinephrine 1 : 200,000 will hasten the onset of anesthesia when a rapid conversion to surgical anesthesia is necessary.
This combination results in:

results in approximately 90 to 120 minutes of surgical anesthesia.

64

Sodium bicarbonate cannot be added to what LA?

Why?

bupivacaine as it results in precipitation when the pH is raised.

65

the most common indication for a cesarean hysterectomy.

Placenta accreta is

66

occurs when the placenta covers the cervix.

Placenta previa

67

Placenta previa occurs

when the placenta covers the cervix.

68

The classic clinical sign of placenta previa is

painless vaginal bleeding during the second or third trimester.


the lack of abdominal pain and/or absence of abnormal uterine tone helps distinguish placenta previa from placental abruption

69

Scenario -
mom comes in bleeding with hypotension. what's your anesthetic plan?

-ETT
-Etomidate (not propofol) ketamine

70

Placenta accreta refers to

a placenta that is abnormally adherent to the myometrium but has not invaded the myometrium.

71

In placenta increta,

 the placenta has invaded the myometrium. 

72

Placenta percreta is

invasion through the serosa.

73

placenta accreta, Elective cesarean delivery recommendation;

at 34–35 weeks’ gestation to avoid emergent delivery is recommended.

74

Placental abruption is defined as

complete or partial separation of the placenta from the decidua basalis before delivery of the fetus.

75

if patients with severe hypovolemic shock what rare thing CAN happen with intubation

intubation can be accomplished without an induction agent.

76

what IV vasopressors are recommended for amniotic fluid embolism hypotension

dopamine
dobutamine
norepinephrine

77

how do we guide fluid therapy during amniotic fluid embolus

what are we cautiously aware of

CVP

aware that Pulmonary edema may occu

78

multimodal analgesia statement regarding magnesium administration

magnesium sulfate administration resulted in small reduction in postoperative pain scores and a substantial reduction in opioid use.

79

what medication has been used in the treatment of acute and chronic pain in nonobestretic patients

alpha 2 adrenergic receptor agonists.

80

are IV opioids better than PO opioids

no, evidence suggest IV is not superior to oral

81

what are the advantages of po opioids

cost savings. facilitate early mobility and greater patient satisfaction .

82

what is the goal of PCA

maximum analgesia with minimal side effects.

83

what is the advantage of multimodal pharmacological and non pharmacological treatment for pain

optimal approach and should be offered whenever feasible and medically indicated.

84

low dose IV nitro- when is this recommended

40mcg bolus- recommended to relax the uterus for placental removal when indicated.

85

placental accreta- what must be immediately available.

PRBC's should be immediately available

86

patient with placental previa - hospitalized for some time before delivery should have

have at least one IV catheter maintained if bleeding is recurrent or imminent delivery is anticipated

87

the supine hypotension syndrome is caused by

compression of the aorta and inferior vena cava

88

how does supine hypotension syndrome manifest

pallor
tachycardia
sweating
nausea
hypotension
dizziness

89

current guidelines recommend that prophylactic antibiotics be administered within

60 minutes

90

Per my notes...what is recommended for patient who aspirates

cpap or peep- NOT abx or steroids