Anesthesia In OB

Question 1

Antepartum

Answer 1

Before birth

Question 2

Dystocia

Answer 2

Difficult labor

Question 3

Intrapartum

Answer 3

during the act of birth

Question 4

Multiple gestation

Answer 4

twins, triplets, etc

Question 5

Multiparous

Answer 5

had multiple gestations

Question 6

normal labor (weeks)

Answer 6

38-40 weeks

Question 7

Nulliparous

Answer 7

Never completed a pregnancy beyond 20 weeks

Question 8

Parturient

Answer 8

pregnant patient

Question 9

Postpartum

Answer 9

After birth

Question 10

Preterm labor (weeks)

Answer 10

<37 weeks

Question 11

Primapara (primip)

Answer 11

first pregnancy

Question 12

Age of viability

Answer 12

around 24 weeks

Question 13

Pitocin side effects

Answer 13

Hypotension, myocardial ischemia, pulmonary edema, death

Question 14

Pitocin rule of three

Answer 14

1.) Give 3 units over 30 seconds and can be repeated two more times over 30 seconds (wait 3 minutes between each dose)
2.) If not effective after 3 doses of 3 units, move to another uterotonic
3.) 3 units/hr for maintenance

Question 15

Hemabate (Carboprost)

Answer 15

250mcg/ml IM
Contraindicated in asthmatics
Can cause diarrhea

Question 16

Methergine

Answer 16

200mcg/ml IM
Contraindicated in hypertensive patients (preeclampsia)
Preferred over hemabate

Question 17

Cytotec

Answer 17

Last resort
Administered rectally

Question 18

Magnesium

Answer 18

Raises seizure threshold in preeclampsia patients

Question 19

Nitroglycerine

Answer 19

Treat uterine inversion
Can give larger doses (250-500mcg) than normal cardiac patients

Question 20

Volatile agents

Answer 20

Can have tocolytic effects so lower volatile agent and increase nitrous oxide after delivery of baby

Question 21

Normal fetal HR

Answer 21

120-160

Question 22

Bradycardia fetal HR

Answer 22

<120bpm

Question 23

Tachycardia fetal HR

Answer 23

> 160bpm

Question 24

Early decelerations (Type 1)

Answer 24

at the onset of contraction (Vagal head squeeze)

Question 25

Late decelerations (Type 2)

Answer 25

after the onset of contraction (fetal hypoxia)

Question 26

Variable decelerations (Type 3)

Answer 26

variable in intensity, during, and timing (umbilical cord compression and decompression)

Question 27

Fetal respiratory rate

Answer 27

30-60 breaths/min

Question 28

Fetal pH

Answer 28

> 7.25 (more acidic than adults)

Question 29

Spinal marcaine dose for vaginal delivery

Answer 29

3-6mg to preserve muscle function

Question 30

Agonist-antagonist used for analgesia for epidural refusal

Answer 30

IV Nubain (Nalbuphine) can treat itching post opioid administration