Flashcards in Antepartum and Postpartum hemorrhage and complication in OB ppt Deck (18)
what is the leading cause of maternal and fetal mobidity and mortality
what is the primary mechanism for controlling blood loss at parturition
3 main causes of antepartum hemorrhage
should u do vag exams with placentia previa?
or performed under a double set up
what shoiuld anesthesia do to ALL women with placenta previa?
evaluate them early
2 large PIV
what is the most common cause of DIC
management for abruption
2 large bore IVs
what are better choices for induction in hypovolemia?
ketamine and etomidate
causes of postpartum hemorrhage
labor < 3 hr
Hx of postpartum hemorrhage
amniotic fluid embolus
most common cause of postpartum hemorrhage?
1st line drug for uterine atony?
20 units to 1000ml LR (may double to 40 units)
what must be avoided with use of methergine and why. (when used to contract uterus)
b/c it causes aplha-adrenergic stimulation
Post dural puncture h/a s/s
frontal-occipital in nature (dull throbbing)
may not have immediate onset(12-48 hrs post)
total CSF fluid
treatment for PDPH
epidural blood patch
blood patch how is it done?
same level or one beneath
15-20 mL of pt's blood
lie for one hour post supine
may repeat one
strict aseptic tech
complications of LA injection into intravascular space
mubness tingling mouth
ringing in ears
(give test dose watch for HR to increase 30 beats in 30 sec)