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19 Cards in this Set
- Front
- Back
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What is the most common musculoskeletal complaint during pregnancy?
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Low back pain
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Which cranial nerve is most associated with PDPH?
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6th cranial nerve
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What are some other associated symptoms of PDPH besides the headache?
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nausea
vomiting ocular symptoms auditory symptoms cranial nerve palsy |
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More than 90% of PDPH resolve spontaneously within _____days.
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10
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50% of PDPH resolve within _____days
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5 days
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EXAM QUESTION
Risk factors for PDPH include: |
women
pregnant 18-30 years thin prior history of PDPH Headache before the Lumbar puncture |
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Quincke is what type of needle?
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cutting
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Sprotte is what type of needle?
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pencil point
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Whitacre is what type of needle?
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pencil point
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EXAM QUESTION
Conservative treatment for PDPH include: |
bed rest
oral hydration Oral,IV meds caffeine 300 mg theophylline |
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Caffeine must be avoided in what patient population?
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seizures
pregnancy-induced hypertension |
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How does caffeine relieve PDPH?
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vasoconstriction of the dilated cerebral vessels
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What is considered the gold standard and most effective treatment for PDPH?
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Epidural blood patch
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What are the 2 major factors associated with lumbosacral nerve root injuries?
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1) paresthesias during needle insertion or med injection
2) multiple attempts to perform a block |
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S/S of cauda equina syndrome
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bowel bladder dysfunction
perineal sensory loss lower extremity motor weakness |
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What is the most likely result of chemical backache caused by 2-chloroprocaine
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hypocalcemic tetany of paraspinous muscles
chelation of calcium by sodium bisulfite |
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PDPH after dural puncture is caused by...
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leakage of CSF which causes cerebral hypotension
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Cerebral hypotension leads to traction on what?
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pain sensitive intracranial structures
cerebral vasodilation |
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If the first EBP fails what should one do?
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Do another EBP.
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