Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
21 Cards in this Set
- Front
- Back
|
Potential complications of spinal opiates include ? depression, we should monitor ? for 24hrs and if it is < ? we need to call the Dr.
|
respiratory,
Respiratory Rate, 12 |
|
|
What is the antidote for Duramorph and Astromorph? and it will be given as an ? because the Duramorph or Astromorph has a long duration of action in her spine so we will need to be able to administer the antidote over a longer period of time too.
|
Narcan(nalaxone),
IVPB |
|
|
If the pt is having the side effect of N/V from her epidural we would give an ? IV, and if the pt is itchy we could give ?.
|
antiemtic,
benadryl |
|
|
The urinary catheter will be kept in place for a full ? hrs. This helps us monitor ?/?'s. We will also be keeping the ? in place to administer meds.
|
24,
I/O's, IV |
|
|
What is the major potential s/e of the epidural ?
What is the major s/e to the newborn if mom has a narcotic within 4hrs of birth ? What are the s/s of Resp. Depression ? and ? |
Hypotension,
Resp. Depression, apnea and syanosis |
|
|
When a woman becomes pregnant her O2 needs increase so the AR increases ?-? beats per minute and blood volume increases ?-?% and cardiac ouput increases ?%
|
15-20bpm,
30-50%, 30% |
|
|
With a healthy pregnancy there is no increase of BP because of the action of ? and ? These are produced in the ?'s normally and in the ? during prenancy.
|
estrogen,
progesterone, ovaries, placenta |
|
|
In stage one(dilation) the cardiac ouput increases ?-?% over her pre-pregnancy levels.
|
10-15%,
|
|
|
During stage 2(pushing&birth) Cardiac Output increases ?-?%,
In the 4th stage(post partum) Cardiac Output may peak at ?% over pre-pregnancy levels. |
30-50%,
80% |
|
|
In stage 1 during contractions BP increases, systolic goes up by ?mg and in stage 2 systolic goes up to ?mg and diastolic goes up by ?mg
|
10mg,
30mg, 25mg |
|
|
What is the normal WBC for adults ? and normal
Hgb? Hct? for a woman. |
5,000-10,000,
12-14, 3times the Hgb |
|
|
In pregnancy, plasma and cellular elements increase, plasma increases faster so ? anemia may occur. We should consider this when assessing which labs ?
|
dilutional,
Hgb/Hct |
|
|
A WBC increase of ?-? is WNL during pregnancy. This is caused by dads ? being in the baby and moms immune system reacting to it. During labor and Birth WBC count may increase to ? and then in the early PP they can increase to ?
|
5000-12,000,
DNA, 25,000, 30,000 |
|
|
All pregnant ladies are in a hypercoagulable state, this hypercoagulable state increases risk for ? Clotting factors increase during pregnancy so there is a bigger chance for disseminated intravascular ? which causes clotting that takes up to many clotting factors which leads to possible ?
|
DVT,
coagulation, hemorrhage |
|
|
With birth, a blood loss of ?ml is normal for vaginal birth and ? ml for a C/S. We can use this info to help determine if there is a ?
|
500ml,
1000ml, hemorrhage |
|
|
During the pp stage the pt will further increase her ? factors and they will not return to normal limits for ?-? weeks.
|
clotting,
3-4 weeks |
|
|
What labs would we check one day pp C/S to evaluate coagulability? What s/s would tell us something is wrong?
|
Hgb/Hct,
pale, decreased RR & pulse ox, increased HR |
|
|
Respiratory adaptations during pregnancy would include increased consumption of ? her thoracic circumference increases by ?-? inches, and her ? elevates.
During labor there is an increase in ? and ? |
O2,
2-3inches, diaphragm, RR, AR |
|
|
Renal adaptation during pregnancy includes increased glomerular filtration rate of ?-?% Why?
|
40-50%,
Mom is filtering more blood and getting rid of babies waste. |
|
|
Urine ouput during pregnancy is increased by ?% and the bladder tone is ? which can cause pregnant ladies to pee their pants.
|
25%,
decreased |
|
|
The increased renal adaptations increased the moms risk for ?
|
UTI's
|
