Ch. 19 Management of PDPH

Question 1

Complications of PDPH

Answer 1

• increased cost of hospitalization
• negative impact of patient satisfaction
• increased risk of litigation
• increase risk of maternal morbidity

Question 2

What drug is used to treat PDPH

Answer 2

no specific drug is used routinely

Question 3

Despite inconclusive evidence, what may decrease the risk of developing PDPH after accidental dural puncture

Answer 3

placement of an intrathecal catheter

Question 4

What is the gold standard for the treatment of PDPH

Answer 4

epidural blood patch

Question 5

Does a history of PDPH increase your risk of developing PDPH again

Answer 5

yup

Question 6

What direction of the bevel reduces the risk of PDPH

Answer 6

parallel to the spinal axis

Question 7

Which spinal approach reduces the risk of PDPH

Answer 7

paramedian approach

Question 8

Which type of spinal needle reduces the risk of PDPH

Answer 8

small pencil point

Question 9

After assuming the upright position how many minutes can the onset of PDPH be delayed

Answer 9

15min

Question 10

Are all postdelivery headaches due to dural puncture in patients who received neuraxial

Answer 10

nope, so perform a neurologic exam before treating for PDPH

Question 11

failure of a second epidural blood patch should prompt what

Answer 11

investigation of the cause of headache other than dural puncture

Question 12

EBP performed within __ hrs of dural puncture has a lower success rate

Answer 12

24hrs