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6th Semester > OB Test 4 Chapter 17 > Flashcards

OB Test 4 Chapter 17 Flashcards

1
Q

When to give sedatives

A

Prolonged latent phase

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2
Q

Undesirable side effects of barbiturate

A
  • resp depression

- casino for depression

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3
Q

When to avoid barbiturates

A

If birth is anticipated w/in 12-24 hrs

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4
Q

What will happen if a barbiturate is given w/out an analgesic

A

Pain will magnify

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5
Q

Which sedatives are seldom used during labor

A

Barbiturates

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6
Q

Sedative that doesn’t relieve pain

A

Phenothiazine (Phenergan)

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7
Q

What does Phenergan impair

A

Analgesic efficacy of opioids

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8
Q

What to give instead of Phenergan

A

Metoclopramide (Reglan)

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9
Q

A sedative that when given w/ an opioid analgesic seems to enhance pain relief and reduce N/V

A

Benzos

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10
Q

What do benzos do to the mother

A

Maternal amnesia

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11
Q

If a mother has amnesia during labor and she is taking a benzo, what do you do

A

Stop it

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12
Q

What do benzos do to the fetus

A

Disrupts their thermoregulation

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13
Q

A benzo antagonist that can be given to reverse benzo-induced sedation and resp depression

A

Flumazenil (Romazicon)

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14
Q

Encompasses analgesia, amnesia, relaxation, and reflex activity

A

Anesthesia

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15
Q

Alleviation of the sensation of pain

A

Analgesia

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16
Q

Analgesics that can be administered IV, IM, or PCA

A

Systemic

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17
Q

Medications that provide sedation, euphoria, pain relief

A

Analgesia

18
Q

When are analgesia best used

A

Active labor

19
Q

Adverse effects of opioids

A
  • resp depression
  • sedation
  • N/V
  • dizziness
  • altered mental status
  • euphoria
  • decreased GI motility
  • delayed gastric emptying
  • urinary retention
20
Q

If a women is under general anesthesia and has a prolonged gastric emptying time, what is she at risk for

A

Aspiration

21
Q

Effects of opioids on the fetus

A
  • absent or minimal FHR variability during labor

- resp depression

22
Q

Opioids that stimulate mu and kappa

A

Agonist

23
Q

Opioids have an amnesic effect. T or F

A

F

24
Q

What can opioids do to contractions

A

Inhibit them

25
Q

When to give opioids

A

When labor is well established

26
Q

Synthetic opioid that causes less resp depression than morphine

A

Meperidine hydrochloride (Demerol)

27
Q

Adverse effects of Demerol

A
  • tachycardia
  • sedation
  • N/V
  • dizziness
  • altered mental status
  • euphoria
  • decreased GI motility
  • delayed GI emptying
  • urinary retention
28
Q

When to not give Demerol

A

If birth is expected w/in 1-4 hrs

29
Q

Potent short-acting opioid agonist analgesic

A

Fentanyl citrate (Sublimaze)

30
Q

Sublimaze readily crosses the placenta. T or F

A

T

31
Q

Compared w/ meperidine, fentanyl provides what

A

Equivalent analgesia w/ fewer neonatal effects and less maternal sedation and nausea

32
Q

What is a disadvantage of fentanyl

A

More frequent dosing

33
Q

Adverse effects of fentanyl citrate (Sublimaze)

A
  • sedation
  • resp depression
  • N/V
34
Q

What should be available of fentanyl citrate (Sublimaze) causes resp depression

A

Naloxone

35
Q

Agent that activates or stimulates a receptor to act

A

Agonist I

36
Q

Agent that blocks a receptor or a medication that is designed to activate a receptor

A

Antagonist

37
Q

Which receptors do agonist-antagonist work as agonist for

A

Kappa

38
Q

Agonist-antagonist opioids provide what

A

Adequate analgesia w/out causing significant resp depression

39
Q

What is the major advantage of opioid agonist-antagonist

A

Ceiling effect

40
Q

Opioid agonist-antagonist are less likely to cause N/V but greatly cause what

A

Sedation

41
Q

When to withhold an opioid agonist-antagonist

A

Opioid dependent mother

42
Q

Relieve anxiety and induce sleep

A

Sedatives

6th Semester (4 decks)

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