OB

Question 0

Zz

Answer 0

Epidural:
Nesicaine fast but short acting
Nesicaine antagonizes narcotics
2% lidocaine w/ epi is most common

C-section requires T4 level spinal
Spinal trending up
GA & epidural trending downl

Question 1

Yy

Answer 1

-Preg induced htn: htn associated w/ pregnancy
-Gest htn: HTN W/o proteinuria or edema, during last part of preg. or after delivery
Preecclampsia Risk: obese, young, diabetic

Mag 2-4g bolus; 2-4 g/ hr; levels 4-6
Calcium 10% over 10 min
Hydralizine
Clonidine, prazosin
Labetolol 5 mg
Esmolol

Seizure control:
-Thiopental 50-100 mg
-Valium 2.5-5 mg
-Versed 1-2 mg
-Mag 2-4 mg
Cerebral edema:
-Mannitol

Fent 50-75 mcg in epidural
2% lido 10 ml x2
.5% bupiv 10 ml x 2

Question 2

Tr

Answer 2

Hemorrhage #1 reason for aicu admit, post partum death
Older , carrying twins and c-section common causes

Placenta acretia
Placenta encreta
Placenta percreta