Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Jason's MD3 Women's > Intrapartum Care > Flashcards

Intrapartum Care Flashcards

1
Q

Labour definition?

A

Painful contractions in association with:

Cervical dilation
Ruptured membranes
Show (bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

INvestigation when first start labour?

A

admission CTG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

6 steps intrapartum care

A 
X mother
Fetal surveillance
Ax of progress
Foods and fluids?
AbX?
Pain relief?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Reasons for Abx? 4 weeks

A 
GBS
Prolonged ruptures membranes: more than 18hours
suspected chorioamnionitis (fever)
Endocarditis prophylaxis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How often vaginal exam during labout?

A

Every 4 hourly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

GBS

A

20% of women
1 in 200 carriers serious fetal infection
1 in 5 fetal infection death or permanent disability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GBS if penicillin sensitive?

A

Clindamycin
erythromycin
Need sensitivities?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

3 pharma pain relief

A

Nitrous (edge only)
Narcotics
Regional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Parental narcotics?

A

Heroin (not in Australia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Narcotics S/Fx

A

N&V
Stematil, Maxalon
Resp. Depression
Constipation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Narcotic dosage?

A

morphine: 10mg 3-4 hourly
Pethiein: 100mg 3-4hourly
Fentanyl: IV infusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How to treat respiratory depression in preg?

A

Naloxone for mother

Not for baby: stim cause don’t want it to wear off before morphine is still on born

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why is narcotics doesn’t work for labour? (Or renal colic)

A

Intermittency: can’t give enough during peak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Fast way to get drugs in and out?

A

Inhalation

Fat-soluble

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

REgional anaesthesia?

A

Epidural - large volume: catheter
Spinal: subarachnoid space: no catheter
Combined

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Contraindication to regional analgesia

A

Absolute: allergy: infection

Relative:
Coagulopathy
Systemic sepsis

17
Q

regional analgesia which drugs?

A

Xylophone
Bupivicaine, rope acting
Fentanyl
Adrenalit

18
Q

Side effect of regional analgesia? Immediate?

A

Hypotension - COxTPR due to reflex sympathetic vasodilation of arterioles and venues
Rx: fluids or sympathomimetic

19
Q

Which vessels are innervated By sympathetic return?

A

Arterioles and venules (reservoir)

20
Q

Why not use colloids more in preg?

A

Anaphylaxis!

Use crystalloid

21
Q

Adrenaline which receptors?

A

Adrenaline: Beta
Noradrenaline: Alpha

22
Q

Adrenaline comes in what?

A

1ml: 1:1000 adrenaline

23
Q

Rural puncture headache?

A

LowerS CSF pressure, pulls on meninges

Lie flat
Blood patch

Jason's MD3 Women's (58 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions