Random Stuff to Know

Question 1

What is the fundus?

Answer 1

The top of the uterus.

Height of uterus can be used to estimate length of pregnancy.

Question 2

Inadequate ventilations for neonate resuscitation? Try MR SOPA

Answer 2

Mask - adjust to ensure good seal
Reposition airway to sniffing position
Suction mouth and nostrils of secretions if necessary
Open mouth using manual maneuvers
Pressure - increase to ensure adequate chest rise
Alternate airway (consider if available)

Question 3

What the heck does the Targeted Preductal SpO2 (Right Hand) chart in the Neonatal Resus algorithm mean?

Answer 3

According to the American Academy of Pediatrics, fetal spo2 is 60%, and can drop as low as 30% during labour. It then increases in the 10 minutes following birth.
The chart we have are guidelines for the ideal saturation ranges in that time.

Question 4

Why is nitro contraindicated with a HR of over 159?

Answer 4

Because the patient’s chest pain could be caused by their HR (not ischemia).

Question 5

What are some common NSAIDs?

Answer 5

Ibuprofen (Motrin, Advil)
ASA
Naproxen (Aleve)
Celecoxib (Celebrex)
Honestly, there's tons. See https://www.nhs.uk/conditions/nsaids/ and https://www.webmd.com/arthritis/anti-inflammatory-drugs for more lists, and there's probably more than that out there on Google.

Question 6

Phosphodiesterase inhibitors aren’t just for ED, what else might they be used to treat?

Answer 6

“Phosphodiesterase inhibitors are class medications used in the management and treatment of chronic obstructive pulmonary disease(COPD), erectile dysfunction(ED), pulmonary arterial hypertension(PAH), benign prostatic hyperplasia(BPH), acute decompensated heart failure, psoriasis, psoriatic arthritis(PA), atopic dermatitis(AD), and neonatal apnea”

Remember - ask everyone.

https://www.ncbi.nlm.nih.gov/books/NBK559276/#:~:text=Phosphodiesterase%20inhibitors%20are%20class%20medications,psoriatic%20arthritis(PA)%2C%20atopic

Question 7

What are common phosphodiesterase inhibitors?

Answer 7

Healthline says there’s 4 major types of phosphodiesterase inhibitors:

• sildenafil (Viagra)
• tadalafil (Cialis)
• vardenafil (Levitra or Staxyn)
• avanafil (Stendra)

They have -afil suffixes.