OBGYN

Question 1

S/S

Answer 1

• Contractions/Signs of Labor
• Vaginal Bleeding
• Abdominal Pain
• Seizure/ALOC
• Syncope
• Shock

Question 2

Initial Considerations

Answer 2

• Imminent Delivery
• Preeclampsia/Eclampsia
• Postpartum Bleeding
• Placenta Previa
• Placental Abruption
• Uterine Rupture
• Spontaneous abortion
• Ectopic pregnancy

Question 3

If Seizure Occurred..

Answer 3

• Place in left lateral decubitus Position
• O2 via NRB (escalate airway management as needed)
• Administer Mag Drip (5g in 100mL
  NS) over 15 minutes

Question 4

Actively Seizing or had Seizure longer than 5 min..

Answer 4

• Place in left lateral decubitus Position
• O2 via NRB (escalate airway management as needed)
• Midazolam 10mg IM

Question 5

Actions after Seizure is managed & Initially addressing any other Complaint..

Answer 5

• 1st Assess FSBG
• Provide Supplemental O2 alongside Pulse Ox
• Place in left lateral decubitus (Shock/Orthostasis)
• Consider IV/IO & Cardiac monitor
• Administer 20 mL/kg NS/LR fluid bolus as needed
• Consider other AG’s (GI/Nausea, Hypoglycemia, Shock)
• Ongoing Monitoring & Reassessment of VS
• Transport to Appropriate Facility