OB Test 4 Chapter 17 Flashcards
When to give sedatives
Prolonged latent phase
Undesirable side effects of barbiturate
- resp depression
- casino for depression
When to avoid barbiturates
If birth is anticipated w/in 12-24 hrs
What will happen if a barbiturate is given w/out an analgesic
Pain will magnify
Which sedatives are seldom used during labor
Barbiturates
Sedative that doesn’t relieve pain
Phenothiazine (Phenergan)
What does Phenergan impair
Analgesic efficacy of opioids
What to give instead of Phenergan
Metoclopramide (Reglan)
A sedative that when given w/ an opioid analgesic seems to enhance pain relief and reduce N/V
Benzos
What do benzos do to the mother
Maternal amnesia
If a mother has amnesia during labor and she is taking a benzo, what do you do
Stop it
What do benzos do to the fetus
Disrupts their thermoregulation
A benzo antagonist that can be given to reverse benzo-induced sedation and resp depression
Flumazenil (Romazicon)
Encompasses analgesia, amnesia, relaxation, and reflex activity
Anesthesia
Alleviation of the sensation of pain
Analgesia
Analgesics that can be administered IV, IM, or PCA
Systemic
Medications that provide sedation, euphoria, pain relief
Analgesia
When are analgesia best used
Active labor
Adverse effects of opioids
- resp depression
- sedation
- N/V
- dizziness
- altered mental status
- euphoria
- decreased GI motility
- delayed gastric emptying
- urinary retention
If a women is under general anesthesia and has a prolonged gastric emptying time, what is she at risk for
Aspiration
Effects of opioids on the fetus
- absent or minimal FHR variability during labor
- resp depression
Opioids that stimulate mu and kappa
Agonist
Opioids have an amnesic effect. T or F
F
What can opioids do to contractions
Inhibit them
