Ante-partum Flashcards

0
Q

Preeclampsia
Sx
5

A
H/A
Blurred/altered vision
Epigastric pain
Edema
Protienuria
Hyperreflexia
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1
Q

FBS

1, 2, and 3 hour glucose levels

A

FBS < 140

1 hour- <145

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2
Q

Eclampsia

2

A

Worsening of preeclampsia signs

Siezure

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3
Q

Mag Sulf

Antidote

A

Calcium Gluconate

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4
Q

Mag Sulf

Action

A

Prevents Seizures by interrupting neurotransmitters

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5
Q

MgSf
Interactions
2

A

may potentiate
Ca+ channel blockers
Neuromuscular blocking agents

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6
Q

MgSf

Adverse reactions

A

Decreased CNS
muscle weakness
Drowsiness

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7
Q

Tocolytics

2

A

Terbutaline

Nifedipine

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8
Q

Terbutaline

Nursing interventions

A

Monitor mom and baby vitals
Monitor for pulmonary edema
Monitor for hotly emit

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9
Q

Terbutaline
SE
4

A

Tachycardia
Palpitations
Anxiety
HA

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10
Q

Terbutaline

Action

A

Relaxes smooth muscle

That is why it is a bronchodilator…

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11
Q

HELLP syndrome

A

Hemolysis
Elevated Liver enzymes
Low Platelets

Drugs to treat HIV can mimic these results

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12
Q

HELLP syndrome identifies what disorder?

A

Preeclampsia

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13
Q

Abruptio Placentae

S/SX

A
Abdominal pain
Vaginal bleeding (but it may be concealed)
Abdominal tenderness
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14
Q

Placenta Previa

S/Sx

A

Painless bright red bleeding

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15
Q

Uterine stimulant herbs

5

A
Cohosh
Chaste tree
Dong quai
Ephedra
Goldenseal
16
Q

Hct

A

28-40

17
Q

Hgb

A

9.5-15

18
Q

Normal pregnancy WBC

A

5.6-16.9

19
Q

Protienuria

Normal range in pregnancy

A

<300mg

20
Q

Creatinine

A

<1

.9 is borderline

21
Q

If creatinine is high, what does this mean in regards to MagSulf?

A

Kidneys are not working well and you need to worry about Mag toxicity

22
Q

Mag Sulf

Dose

A

4g bolus, 1-2 after that

Always watch creatinine

23
Q

Half life of oxytocin

A

3-5 minutes to as long as 15 minutes

24
Q

Hyper stimulation by oxytocin

Actions required

A

D/C oxytocin.
Wait 30 minutes. If hyperstimulation resolves, you can restart oxytocin at 1ml/hr.
If at 5cm, may not need to restart.