Anesthesia, Forceps, Puerperium Flashcards

0
Q

Most commonly used local anesthetic

A

Lidocaine

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1
Q

Anesthetic used in women with acute hemorrhage and hypotension

A

Ketamine - increases BP

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2
Q

Most commonly used local anesthetic for pudendal block

A

Lidocaine

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3
Q

Anesthetic used to promote uterine relaxation in internal podalic version and beech decomposition

A

Isoflurane, Halothane

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4
Q

ADR of nitrous oxide

A

Megaloblastic anemia

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5
Q

ADR of isoflurane, halothane

A

Post-op hepatitis

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6
Q

ADR of ketamine

A

Dissociative anesthesia

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7
Q

ADR of bupivacaine

A

Cardiotoxicity, neurotoxicity

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8
Q

Drugs used for spinal anesthesia for CS

A

Bupivacaine, Lidocaine

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9
Q

Most commonly used anesthetic in general anesthesia

A

Isoflurane, Halothane

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10
Q

What nerve roots are blocked in pudendal block?

A

S2-S4

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11
Q

What roots are blocked in paracervical block?

A

T11-T12 (Paracervical ganglion of Feankenhauser)

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12
Q

Where do you inject the anesthetic for a paracervical block?

A

3 and 9 o clock

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13
Q

Level of spinal sensory blockade for spinal anesthesia

A

T8

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14
Q

Anesthesia used for pain relief during the first stage of labor, also commonly used for OPD gynecologic procedures

A

Paracervical block

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15
Q

Most commonly used anesthetic procedure

A

Epidural anesthesia - Gold standard

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16
Q

Most ideal anesthesia for severe preeclampsia and eclampsia

A

Epidural anesthesia

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17
Q

Anesthesia used for internal podalic version of second twin

A

GA

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18
Q

Level of sensory blockage for CS?

19
Q

Most important function of forceps

A

Traction

Not rotation!

20
Q

Forceps used for delivery of a fetus with molded head

A

Simpson forceps

21
Q

Forceps commonly used in nulliparous moms

A

Simpson forceps

22
Q

Wide shank, fenestrated blade

A

Simpson forceps

23
Q

Solid blade, narrow shank

A

Tucker Mac Lane forceps

24
Forceps commonly used in multiparous women
Tucker Mac Lane forceps
25
Forceps with sliding lock, minimal pelvic curvature
Keilland forceps
26
Forceps used for deep transverse arrest of the head
Keilland forceps
27
Uterine incision that's least likely to rupture
Transverse incision/ Kerr incision
28
Kronig incision
Vertical incision at LUS
29
Most common indication for primary CS?
Dystocia
30
Puerperium definition
Delivery of placenta until 6 weeks post partum
31
Uterus is restored how many weeks postpartum?
3 weeks
32
Late onset metritis most commonly causes by what organism?
Chlamydia
33
Weight of non-pregnant uterus
100g
34
When does the uterus return to non-pregnant size
4 weeks postpartum
35
When does the uterus descend into the true pelvis
2 weeks postpartum
36
When is the entire endometrium restored
3 weeks postpartum
37
What is the single most significant factor for the development of uterine infection
Route of delivery
38
Only vitamin lacking in breast milk (or only in minute amount)
Vitamin K
39
Major proteins in breast milk
Lactoalbumin and casin
40
Uncommon but potentially fatal complication of septic abortion
DIC
41
When can a mother start POPs after delivery?
2-3 weeks | Given for lactating women
42
When to start COCs, DMPA, IUD after delivery?
6 weeks
43
Proper nursing schedule for lactation amenorrhea method
> 2 to 3 times per night and every 4 hours during the day without supplementation
44
When does menses return in non-lactating women?
After 6-8 weeks
45
Postpartum fever
Fever of > 38 C that occurs on any two of the first 10 days postpartum, exclusive of the first 24 hours
46
Most common cause of postpartum fever
Endometritis