04/29/17 Flashcards
Definition of adequate contractions
> 200 MVU spaced 10 min apart
Arrest of labor
> 4 hours with no cervical change and adequate contractions
6 hours with no cervical change and inadequate contractions
–> C-section
(must start at >6 cm cervical dilation)
Severely depressed pt who is not eating or drinking. Failed SSRI, used to do well on TCA. Do what next?
ECT - he’s not eating or drinking!
CYP 450 inhibitors do what to the effect of warfarin
Increase it (increase bleeding risk)
CYP 450 inhibitor examples
Acetaminophen, NSAIDs Antibiotics/antifungals Amiodarone Cimetidine Cranberry juice, ginkgo biloba, vit E Omeprazole Thyroid hormone SSRIs
Adverse effects of oxytocin toxicity
- Tachysystole (frequent uterine contractions)
- Hyponatremia
- Hypotension
Penetrating abdominal trauma (PAT) with signs of peritonitis despite nl ultrasound and hd stability get what?
Exploratory laparotomy
Scleroderma Renal Crisis makes what kinds of red blood cells on peripheral smear?
Schistocytes
Cause of joint pain in Hemophilia A
Hemosiderin deposition and fibrosis
Drug therapy to prevent recurrent nephrolithiasis
Thiazide diuretics - cause mild volume depletion which then reabsorbs salt and water, and passive reabsorption of calcium. Lower urinary calcium leads to less calcium deposition as stones.
Exertional shortness of breath, HTN, and “pounding heart” on L side = which valve issue?
Aortic regurgitation - waterhammer pulse
Congenital bicuspid valve –> AR –> Inc LVEDV
CT abnormalities of Alzheimers
Diffuse cortical and subcortical atrophy which is disproportionately greater in temporal and parietal lobes
Which antenatal screenings allow for karyotype analysis? Which weeks of life?
Chorionic villous sampling = 10-13 weeks
Amniocentesis = 15 - 20 weeks
