Obs and Gynae pretest Flashcards
What level is the epidural needle inserted into?
Inserted between L3/L4 (as below spinal cord, which ends at L1/L2)
What level does the spinal cord end at?
L1/L2
Which space is the spinal anaesthetic inserted into?
The subarachnoid space
What should you give a woman prior to an epidural and why?
Should give 500ml-1000ml crystalloid fluid as epidural will lower her blood pressure
(hypotension because of vasodilation)
To provide relief for pain caused by uterine contractions, which levels must you block?
Must block levels T10-S4
T10-T12 -sympathetic nerves
L1 - ilioinguinal nerve
S2,S3,S4 - pudendal nerve
Lymphatic drainage of fundus of uterus
Para-aortic nodes
Lymphatic drainage of cervix
Internal and external iliac nodes
Lymphatic drainage of bladder
Internal and external iliac nodes
Lymphatic drainage of ovary
Para-aortic nodes
Lymphatic drainage of labia minora?
Superficial inguinal nodes
Which drug is given to a woman with eclampsia to treat seizures and prevent further seizures?
Magnesium sulphate
How should you check liver function in pre-eclampsia?
Serum ALT
How should you check renal function in pre-eclampsia?
Serum urate
How should you check haematological system in pre-eclampsia?
Check platelet count
How should you check neurology in pre-eclampsia?
Patellar reflexes