Ante-partum Flashcards
Preeclampsia
Sx
5
H/A Blurred/altered vision Epigastric pain Edema Protienuria Hyperreflexia
FBS
1, 2, and 3 hour glucose levels
FBS < 140
1 hour- <145
Eclampsia
2
Worsening of preeclampsia signs
Siezure
Mag Sulf
Antidote
Calcium Gluconate
Mag Sulf
Action
Prevents Seizures by interrupting neurotransmitters
MgSf
Interactions
2
may potentiate
Ca+ channel blockers
Neuromuscular blocking agents
MgSf
Adverse reactions
Decreased CNS
muscle weakness
Drowsiness
Tocolytics
2
Terbutaline
Nifedipine
Terbutaline
Nursing interventions
Monitor mom and baby vitals
Monitor for pulmonary edema
Monitor for hotly emit
Terbutaline
SE
4
Tachycardia
Palpitations
Anxiety
HA
Terbutaline
Action
Relaxes smooth muscle
That is why it is a bronchodilator…
HELLP syndrome
Hemolysis
Elevated Liver enzymes
Low Platelets
Drugs to treat HIV can mimic these results
HELLP syndrome identifies what disorder?
Preeclampsia
Abruptio Placentae
S/SX
Abdominal pain Vaginal bleeding (but it may be concealed) Abdominal tenderness
Placenta Previa
S/Sx
Painless bright red bleeding
Uterine stimulant herbs
5
Cohosh Chaste tree Dong quai Ephedra Goldenseal
Hct
28-40
Hgb
9.5-15
Normal pregnancy WBC
5.6-16.9
Protienuria
Normal range in pregnancy
<300mg
Creatinine
<1
.9 is borderline
If creatinine is high, what does this mean in regards to MagSulf?
Kidneys are not working well and you need to worry about Mag toxicity
Mag Sulf
Dose
4g bolus, 1-2 after that
Always watch creatinine
Half life of oxytocin
3-5 minutes to as long as 15 minutes
Hyper stimulation by oxytocin
Actions required
D/C oxytocin.
Wait 30 minutes. If hyperstimulation resolves, you can restart oxytocin at 1ml/hr.
If at 5cm, may not need to restart.
