Pain Management

Question 1

Entanox

• what gases
• how does it work
• when to use it
• main side effect is ..

Answer 1

50% nitrous oxide, 50% oxygen
Limits the synaptic transmission
Before each contraction
Nausea

Question 2

Opiate drugs

• name the main 3
• name some side effects

Answer 2

Diamorphone (first choice at leeds), Pethadine, Meptid

• Nausea / vomitng
• Delayed emptying of stomach
• Drowsiness/sedation
• Reduction in fetal heart rate variability and depression of babys respiratory system at birth
• Sleepy baby

Question 3

Epidural
can they be requested in 1st stage?
how does it work?
complications?

Answer 3

Yes, even in Latent
Blocks sensory nerves in spinal cord, from tummy to toe
Dural tap. loss of bladder sensation. fetal compromise. hypotensive incident. long-term back ache. increase in assisted vaginal births.