epidural and BPP Flashcards
what are nursing interventions prior to epidural administration
baseline BP
labs (PLT)
void
IV insanity
pain scale
what do we monitor for after epidural insertion (adverse effects)
tinnitus
tingling lips
metallic taste
blurred vision
confusion
slurred speech
if a patient only feels the effects of an epidural on one side of the body what to we do
turn them to the opposite side because epidural works by gravity
what are nursing intervention after epidural admin
BP Q2min x 10 min + FHR
monitor urine output
remove in fourth stage of labor
how do we want to position a patient receiving an epidural
sitting up
what are the ideal dermatoses that should be numb for an epidural
T10-T5 for vaginal birth
T12-T10 for labour pain
what are the numbers of motor function that indicate no block
0
your patient can only move their toes, which value of nerve block is this
2
your patient cant move their legs at all, which level of nerve block is this
3
what is a reactive non stress test
accelerations during movement (you want to see 2 in 20 minutes)
what is a non-reactive non stress test
no accelerations during movement
what is a normal biophysical profile
8-10
what is a bad biophysical profile
under 8
what do we use to determine biophysical profile
ultrasound
what is a negative contraction stress test
no late decelerations
