GYN procedures Flashcards
The main supply of blood comes from the ___________ artery. Which is a branch of the _________ __________ artery
Uterine artery
Internal iliac artery (main artery in the pelvis)
T or F the uterus wall is very thin
FALSE
because the Uterine wall is thick it can result in ________ amount of blood loss.
massive
What are the three layers of the uterus going from the outside towards the center
Endometrium
Myometrium
Perimetrium
What do you have to be sensitive to when dealing women and GYN procedures
Physiological Issues
embarrassment, anxiety, fear, guilt, etc.
Why is the Uterus at risk for a an air embolism or amniotic fluid embolism?
Because the Uterus is very vascular and the pt is generally in lithotomy position, steep trendelenburg… resulting in the uterus veins to be higher than the heart.
How much of the cardiac output goes to the uterine blood flow?
10%
What is unique about uterine blood flow that makes it more prone to large blood loss.
generally it is already maximally dilated resulting in large blood loss.
What viscera and nerves innovates the Uterus?
pain to the intaperitoneal pelvic viscera through from nerves plexuses ranging from L4-L5 to spinal nerves T11- T12
What viscera and nerves innovates the Cervix?
Pain form the sub peritoneal pelvic viscera (cervix and upper vagina) and goes via pelvic splanchnic nerves to S2- S4
What nerves innovates the vagina
the via pudendal nerves to S2,S3,S4
What does perineal surgery refer to?
all external genials up to the anal canal.
What does transvaginal mean
anything done through the vagina and offers access to the cervix and inner uterus.
What does Intra-abdominal refer to
anything done through a the stomach
What does trans-abdomnal refer to?
Laperscopic surgery
What is the most common nerve injury?
Ulnar nerve injury
Ulnar nerve is part of the brachial plexus
What is the 2nd most common nerve injury
brachial plexus
what is the most common lower extremity nerve injury?
Common peroneal
Candy cane stirrups generally cause what kind of nerve injury
common peroneal
which will lead to foot drop due to pressure on the outer portion of the thigh
Allans stirrups generally cause what kind of nerve injury?
Saphenous
due to nerve compression along the medial calf
What major nerve is the saphenous nerve part of? and it is a sensory or motor nerve
Femoral nerve
Sensory (why the patient only has a numbness
lack of what action generally leads to an ulnar nerve injury?
not positioning the arms
What action generally leads to a brachial plexus nerve injury?
not securing the arms to the arm boards so they either fall off the arm boards or the they roll back when placed in trendelenburg.
Also abducting the arms more than 90 degrees will result in an over-streching of the brachial plexus over the humoral head.
What causes damage to the sciatic nerve?
over flexing of the hips.