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19 Cards in this Set
- Front
- Back
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Controversial questions related in this article deal with the impact of epidural analgesia on what 3 issues?
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1) the cesarean delivery rate
2) breast feeding difficulties 3) maternal pyrexia |
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Has it been proven that epidural analgesia increased risk of cesarean delivery for dystocia?
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It has been associated with an increased risk of cesarean delivery but no cause and effect relationship has been proven.
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Do the studies show that delaying epidural placement in labor anesthesia until 5-cm cervical diation is beneficial?
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No
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What factors are known to increase the cesarean delivery rate?
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individual obstetrician
labor management protocols public insurance less csection than private insurance |
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Is pain relief itself enough of an indication to use epidural analgesia?
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Yes
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Does cervical dilation at the time of epidural analgesia administration impact the outcome of labor?
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No- it does not.
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What time frame from epidural catheter placement until patient is comfortable?
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variable and up to 30 minutes
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What are some disadvantages of labor epidural analgesia?
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maternal hypotension
inadequate analgesia in 15-20% of cases motor block |
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Above what mcg of Fentanyl dose is the duration of action no longer prolonged?
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25 mcg
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What are some advantages of CSE technique?
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fewer patients experience motor block
faster onset of action |
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Is there a difference in the C-section rate after having a CSE technique analgesia?
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No
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Is the PDPH rate increased with CSE technique?
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No
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What is the treatment for fetal bradycardia associated with uterine hypertonus after subarachnoid opioid injection?
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subcutaneous terbutaline
or IV nitroglycerin |
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Is PABA a metabolite of esters or amides?
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Esters
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Effects of labor analgesia and anesthesia on subsequent breast feeding success has been of much debate. Is there any sound research on this?
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Relatively little genuine sound research
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Early maternal-infant bonding leads to greater success in breast feeding as does adequate postoperative pain control (true/ false)
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True
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Increase the seizure threshold.
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Hypocarbia
Hypokalemia |
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Epidural and spinal anesthesia result in hypothermia caused by redistribution of heat from the _________ to the _______
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core to the periphery
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Increase in body temperature after induction of epidural analgesia for labor is
(minimal/intermediate/maximal) and of (little/medial/maximal) significance. |
Minimal increase in body temp
little clinical significance |
