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Manage Discomfort

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Question
Answer
What are the two neurologic origins for pain in labor   visceral: 1st stage, cervical changes, referred pain somatic: joints, muscles, tendons, 2nd stage, stretching/distention of tissues  
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what are some factors affecting pain response   physiologic: back pain, culture, anxiety/fear, previous exp, gate-control theory, comfort/support, environment  
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what are interventions for hypotension   turn to lateral pos, IV infusion, O2(10-12L), elevate legs  
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what is diff in pudendal block and epidural   pudendal: perineal area w/ local injection, for 2nd/3rd stages, saddle block epidural: all stages, upper nerves,just to epidural space  
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what are disadv. of epidural block   hypotension: give IV fluid bolus, BP q5min, slowed labor, incomplete relief so use gravity to get drug to hot spots  
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what are contraindications of epidural block   mom heart conditions, antepartum hemorrhage, bleeding, infection, allergies  
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what is complication of spinal block   HA if leak spinal fluid, need blood patch GIVE IV BOLUS BEFORE  
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