sunday 13th Flashcards
what c-peptide level is seen in t1dm
low c-peptide
long acting insulins used in t1dm- proper and brand
insulin detemir - leveir
insulin glargine - lantis
short acting insulins - proper and brand
aspart - novorapid
lispro - humalog
blood glucose targets in t1dm
on waking - 5-7 on waking
4-7 before meals and other times
t1dm autoantibodies
anti GAD
islet cell antibodies
insulin autoantibodies
what gestation is classed as pre-term
< 37 weeks
what is the main casue of chorioamniotitis
preterm premature rupture of memebranes -PPROM
complications to baby from pprom
sepsis, prematurity and pulmonary hypoplasia
dx of pprom
speculum exam shows pooling in posterior fornix
if pooling cant be seen in PPROM what shoudl be doen
PAMG-1
treatment of PPROM
admit
oral erythromycin 10 days
maternal steroids
early delivery ?
in preterm delivery of the baby what is given for neuroprotection
iv mag sulphate
in preterm delivery what is given for neuroprotection
iv mag sulphate
does MCA PSV increase or decrease in foetal anaemia
increased increaed CO and velocity as anaemic
describe level sof antepartum haemorrhage
minor<500ml
major 500-1L
massive >1L or shock
defintion of placenta praevia
covering os or within 2 cm
woody hard uterus
placental abruption
what is a blue uterus called and when is it seen
couvelaire uterus
placental abruption
rubella triad
cardiac abnormalities
cataracts
deafness
what is erythema infectiosum also called? whats it caused by
slapped cheek
parvovirus b19
complication of parvovirus b19 in pregnancy
hydrops fetalis - stops eryhtopoiesis
treatment of chicken pox exposure in pregnancy in non immune mother
<20 weeks - give VZIG
>20 weeks- give VZIG or oral aciclovir if within 24hrs of rash
how to differentiate between chicekn pix and measels
measels - first on forehead, white (koplik) spots in mouth
chickenpox - first on chest and face
VTE prophylaxis in pregnancy
LMWH
How long is second stage of labour
1 hour multiparous
2 hours nulli
7 cardinal movements in labour
- engagement
- descent
- flexion
- internal rotation
- extension
- ext -rotation - restitution
- explusion
contraindications for epidural
coagulopathy
local or systemic infection
uncorrected hypovolaemia
how do you reduce the chance of hypovolaemia in epidural
add a local anaesthetic before eg bupivcaine
