6-30-10 OB Sess 3 Mid term Barry Class 2012
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Because a Cesarean section would have been fatal to his mother at such a primative time and there if evidence she was alive after his birth (plus cesarean means to cut - so cesarean section is repetative...should be cesarean delivery)
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| Name 3 Horizonal skin incisions for c section (starting at lowest) | show 🗑
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| T/F: Has the incidence of c sections increased to date | show 🗑
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| What are the indications for having a c-section over a vaginal delivery | show 🗑
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| Which ligament may cause a complication of c section hematoma | show 🗑
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| show | Benzodiazepines (which are considered a "D" by the FDA), Opioids, and Aspiration prophylaxis
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| show | Aspiration (r/t delayed gastric emptying and decreased esophagus sphincter tone), Hypotension (r/t decreased SVR and placenta hypotensive arena), Difficult intubation (swelling r/t progesterone), high spinal (r/t venous engourgement), Local CNS toxicity
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| show | Spinal has quicker onset, reaches Sacrum better, denser block, cheaper, easier to perform, less painful, lower dose needed, and rare Shivering
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| Negatives of Colloid prehydration for spinal/Epidural | show 🗑
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| Bupivicaine dose for 5'9" 172 lb pt for Spinal | show 🗑
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| A high spinal causes severe hypotension because of | show 🗑
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| show | < 80 mm Hg
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| show | vomiting center
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| show | Epidural
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| show | Prevention (although studies state prehydration doesn't prevent)
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| show | Prolonged duration, reduced peak plasma concentration of local, increased density of block, and marker for intravascular injection
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| Where should the heart be to decrease the incidence of Venous air embolism | show 🗑
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| show | Motilin (it is inhibited by progesterone)
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| show | 20-40 units per liter (slide 69) - have methergine, hemabate, and misoprostol availible as back up for uterine atony
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| show | 3 minutes
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| show | Sudden severe pain, Contractions, Palpable fetus, no heart tones, sudden colapse, and diffuse tenderness
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| show | Vaginal birth after cesarian section
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| TOLAC stand for | show 🗑
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