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9 Cards in this Set
- Front
- Back
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Pre-hospital care for OB and gynecological
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Most of the time are care is supportive. However, there are three conditions that warrant a pharmacological intervention by the Paramedic. They include: severe vaginal bleeding, hypertensive disorders of pregnancy, and preterm labor.
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Oxytocin (Pitocin) is given to...
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induce labor.
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hypertensive disorders of pregnancy are characterized by
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Hypertension, weight gain, edema, and in late stages seizures.
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Gestational Hypertension
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A BP of 140/90 or greater in pregnancy in a pt who was previously normotensive. It is an early stage of the disease process. It is important to remember that BP usually drops in pregnancy.
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Preeclampsia
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Pregnant pts with hypertension, abnormal weight gain, edema, HA, epigastric pain, and visual disturbances. Untreated can lead into eclampsia.
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Eclampsia
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The most serious manifestation of the hypertensive disorder of pregnancy. It is characterized by grand mal seizure activity.
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Dose and route for eclampsia
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Magnesium Sulfate 2-4 grams slow IV over 20 to 30 minutes. If an IV cannot be obtained, the IM dosage is 2 grams in each Gluteal or deltoid.
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Preterm is before __ months
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36
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Terbutaline
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Used in preterm labor tx modality to suppress the preterm labor. It causes beta 2 adrenergic receptor stimulation in the uterus which, in turn cause uterine relaxation and can suppress labor.
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