6-30-10 OB Midterm Summary All Slides - Barry
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| How old does pt need to be to consent to lubal | show 🗑
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| show | No
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| Can consent for tubal be given while under going abortion | show 🗑
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| Can consent for tubal be given while on drugs | show 🗑
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| Can consent for tubal be given and surgery performed within 30 days | show 🗑
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| Can consent for tubal be given and surgery performed within 181 days | show 🗑
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| show | Lower cholinesterase levels
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| show | Reglan (metoclopramide)
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| Are most drugs given secreted in breast milk | show 🗑
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| show | No, contraindicated
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| Does anesthesia cause fetal malformations | show 🗑
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| Does anesthesia cause IUGR | show 🗑
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| What respiratory items decrease during pregnancy | show 🗑
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| show | 40%
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| What decreases cardiovascular wise with pregnancy | show 🗑
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| What decreases with regards to renal with pregnancy | show 🗑
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| show | Coagulation factors (II, V, VII, VIII, IX, X, XII), Plasma 50%, RBC 35%
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| show | Hg, platlets, lymphocytes
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| Most all anesthetics make their way to the fetus except | show 🗑
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| show | between 15 days to 56 days gestation
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| A classification of "A" of teratogen risk means | show 🗑
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| A classification of "C" of teratogen risk means | show 🗑
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| A classification of "D" of teratogen risk means | show 🗑
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| show | It is contraindicated
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| show | Benzodiazepines - "D"
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| Thalidomide babies have | show 🗑
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| Cerebral Palsy is caused by | show 🗑
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| show | Its unknown (next highest-20% is genetic transmission)
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| What are some documented teratogens | show 🗑
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| show | Asphyxia (insufficient O2)
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| When does maternal positioning start to matter | show 🗑
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| show | After 16 weeks
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| What is the best measurement of your skill when delivering anesthetic during pregnancy | show 🗑
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| Has any study shown one anesthetic to be more prone top cause preterm labor | show 🗑
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| show | 2nd trimester
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| Name 4 drug classes that are used to stop labor | show 🗑
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| show | Hyperglycemia, tachycardia, those related to mom's hypotention
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| What effects do MgS04 have on fetus | show 🗑
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| show | Premature closure of ductus arteriosus, and pulmonary HTN
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| show | Methemoblobinemia
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| show | between 12-15
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| What is EXIT procedure | show 🗑
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| show | 5-20 mcg/kg
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| What is the dose of fetal Vecuronium | show 🗑
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| show | 1 mcg/kg
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| What is the dose of fetal atropine | show 🗑
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| Recurrent second trimester pregnancy losses could be the result of | show 🗑
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| What is a treatment for incompetent cervix | show 🗑
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| show | Shirodkar, McDonald (both transvaginally), and Transabdominal
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| When are cervical cerclages performed | show 🗑
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| Contraindications to cervical cerclage (7 of them) | show 🗑
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| What level do you need for cervical cerclage | show 🗑
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| show | Trauma
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| What is a main cause of Abruptio Placenta | show 🗑
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| Sodium nitroprusside may cause fetal ? | show 🗑
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| MAP with neurosurgery should be | show 🗑
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| The portion of the fetus closest to the cervical Os is the definition of | show 🗑
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| show | Vertex (back of head), Brow (head position 1/2 way between vertex and face presentation), and Face (extended sniffing)
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| show | Longitudinal (in reference to moms spine)
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| Name 3 Breech positions | show 🗑
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| show | Shoulder
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| Transverse and longitudinal are types of | show 🗑
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| What is the most common type of breech position | show 🗑
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| What are main causes for abnormal presentations | show 🗑
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| Umbilical cord prolapse is most common with which breech position | show 🗑
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| ECV stands for | show 🗑
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| show | >32 weeks
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| show | C section, Duhrssen incision, GETA (2-3 MAC), Nitroglycerin (IV 50-500 mcg or 2 sublingual sprays)
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| Twins from one ovum are called | show 🗑
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| Twins from two separate ova are called | show 🗑
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| Twin gestation increases blood volume over regular pregnancy by | show 🗑
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| show | Both if they have the same (or fused) placenta
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| The most common medical disorder of pregnancy | show 🗑
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| What is the definition of perinatal | show 🗑
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| What percent of pregnancy have HTN | show 🗑
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| show | 4%
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| show | up to 0.05% (0.5% of preeclampsia population)
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| Coma and convulsive seizures between the 20th week gestation and the end of the first week postpartum is the definition of | show 🗑
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| show | Gestational HTN
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| What is the start and stop time of the HTN in gestational HTN | show 🗑
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| Is there proteinurea in Gestational HTN | show 🗑
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| show | Chronic HTN
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| Overall the most commonly essential HTN | show 🗑
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| What can Chronic HTN develop into | show 🗑
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| Onset of HTN and proteinurea after 20 weeks gestation is called | show 🗑
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| show | BP >/= 140/90 mmHg after 20 wks and Proteinurea 300mg/24hr (or +1 on dipstick)
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| show | BP >/= 160/110 mmHg (on 2 occasions at least 6 hours apart), proteinurea >/= 5 g/24hr, Oliguria (<500ml/24hr), Elevated Serum Creatinine, Cerebral or visual disturbances (Headache), Pulmonary edema with resp distress, Liver dx, RUQ pain, IUGR, and Thrombo
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| HELLP stands for | show 🗑
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| The "E" ion HELLP is specific for | show 🗑
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| Why are platlets low in HELLP syndrome | show 🗑
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| show | usually by the presents of schistocytes in a peripheral blood smear (microangiopathic - small vessels tear cells apart)
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| show | Diffuse vasospasm of cerebral vessles leads to cerebral ischemia
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| show | Nulliparity, Hx of, > 35yr old, Non-Hispanic African American, Obesity, HTN, DM, Sickle cell Dz, Smoking, Multiple gestation, Hydatidform mole, Abnormal Placenta, and Materal Syndrome
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| show | Antiangiogenic Protiens
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| The vasospasm that occur in preeclampsia are caused by an increase in circulating levels of | show 🗑
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| What causes the edema in preeeclampsia | show 🗑
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| show | decreases by 30-40%
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| show | Common pathway activity, Fibrin degradation products, Factor VIII and its activity, Platlet aggregability
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| show | Fibrinogen, Antithrombin III, Platlets, and Sensitivity to prostacyclin
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| What happens with Renal in preeclampsia | show 🗑
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| show | Preeclampsia/HELLP, hemorrhage, even Liver rupture
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| show | Headache, eclampsia, visual disturbances (including cortical blindness), and seizures
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| show | Hemolysis, thrombocytopenia, platlet disfunction, and increased platlet consumption
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| show | Edema (laryngeal, upper airway, and pulmonary), pulmonary capilary leak, increased sucretions and congestion
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| Why does pulmonary edema take place in preeclampsia | show 🗑
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| Does respiratory issues with preeclampsia happen more frequent antepartum or postpartum | show 🗑
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| What placenta effects does preeclampsia have (5 things) | show 🗑
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| Management for preeclampsia includes (6 things) | show 🗑
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| show | Aldomet and Labetalol
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| Name tx for htn in preeclampsia (5 of them) | show 🗑
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| What is the first line anticonvulsant treatment for preeclampsia | show 🗑
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| How does Mag sulfate prevent seizures | show 🗑
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| show | 4-6 g over 20 min, then 1-2 gram/hr
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| show | 6-8mg/dl
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| MgSO4 causes ECG changes at what plasma level | show 🗑
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| What plasma level does MgSO4 cause resp depression at | show 🗑
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| show | 15 meq/L
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| What plasma level does MgSO4 cause cardiac arrest at | show 🗑
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| What are the side effects of mag sulfate | show 🗑
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| show | Decreases acetylcholine release from nerve terminal, decreases sensitivity of acetylcholine at endplate, and depresses the excitability of skeletal muscle membrane
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| Five things preeclampsia can lead to | show 🗑
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| What is the level of bilirubin in HELLP | show 🗑
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| What is the level of Lactic dehydrogenase in HELLP | show 🗑
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| What is the level of SGOT in HELLP | show 🗑
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| show | < 100,00/mm3
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| HELLP can lead to (9 things) | show 🗑
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| show | Nulligravida
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| Time frame after delivery | show 🗑
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| show | Gravida
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| show | Antepartum
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| Refers to a women's previous pregnancies of at least 20 weeks gestation | show 🗑
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| show | Between 37 and 41 weeks
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| A women who is pregnant for the first time beyond the stage of abortion | show 🗑
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| show | begins at 27 weeks and ends at delivery
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| Delivery when infant delivers after 42 weeks gestation | show 🗑
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| show | Multigravida
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| Delivery that occurs prior to 37 weeks gestation | show 🗑
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| show | Nullpara
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| show | Second trimester
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| A women that has delivered a viable fetus past the stage of abortion | show 🗑
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| The period the begins at conception and ends at 13 weeks from last mentrual period | show 🗑
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| A women in labor | show 🗑
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| show | Puerpera
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| Most HELLP pts have what type of delivery | show 🗑
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| What is an indicator for PA cath placement | show 🗑
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| show | Pain relief and relaxation, decreased catecholamines, increased uteroplacenta blood flow, no parental narcotic systemic effects, control of BP, permits low outlet forcepts, njo pulm. edema, can use for c-section, and decr. aspiration
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| show | < 20yrs
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| show | Headache, blurred vision, photophobia, RUQ or epigastric pain, hyperreflex, and altered mental status
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| Facial twitching, tonic phase (persisting about 15-20 seconds) progresses to what in eclampsia | show 🗑
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| First line drug with eclampsia | show 🗑
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| 2nd and third line drugs for eclampsia | show 🗑
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| Amniotic fluid emboli triad | show 🗑
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| Amniotic fluid embolism - % fatal | show 🗑
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| show | 12% of materal deaths (5 in 100,000 births)
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| show | Just one - The fact of being pregnant
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| show | Amniotomy, laceration of endocervical or uterine vessel, and Pressure gradient to force fluid into materal circulation
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| What causes Amniotic fluid embolism to be deadly | show 🗑
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| How do you diagnose AFE | show 🗑
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| show | Hypoxemia - pulmonary vasospasm
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| Amniotic fluid embolism causes what to cardiovascular system | show 🗑
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| If one survives Amniotic fluid embolism, what happens hemodynamically | show 🗑
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| The cascade of Amniotic fluid embolism | show 🗑
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| Top 3 (seen more than 90 % of the time) S/S of Amniotic fluid embolism | show 🗑
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| Main priority for Amniotic fluid embolism recovery | show 🗑
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| Venous Air Embolism (VAE) occurred in 97% of pts receiving | show 🗑
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| show | No, VAE is a common occurance
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| show | > 3 ml/kg
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| show | ECG changes - ST depression
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| show | Flood the field
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| show | DVT
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| When is PTE most likely to occur | show 🗑
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| show | 15-24 % end up with PTE
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| show | Venous stasis, increased hypercoagulable r/t pregnancy), and vascular injury (r/t vaginal or c-section trauma)
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| show | Tachypnea
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| show | Postpartum (it crosses the placent easily - Heparin can be given antepartum)
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| show | 12-hrs (same time frame when removing epidural catheter
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