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40 Cards in this Set
- Front
- Back
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Shock
NARM check list |
1. Recognition of shock, or impending
shock 2. Assessment of the cause of shock 3. Treatment of shock a) Provide fluids orally b) Position mother flat, legs elevated 12 inches c) Administer oxygen d) Keep mother warm, avoid overheating e) Administer/use non-allopathic remedies f) Encourage deep, calm, centered breathing g) Activate emergency medical services h) prepare to transpport |
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Shock
non allopathic treatment |
Rescue remedy
Calms |
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Shock
personal guidelinsa |
!. Recognize the symptoms of shock, and alert birth team, call 911
2 asses cause of shock (address if possible) a pitocin, methragine, cytotec, b bi manual compression of uterus cdirect pressure on wound 3 treat shock a) position mom b) O2 c warm d start IV e prepare to transport |
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Calcium
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1000 to 1300 mg/day
milk. dairy, corn tortillas, cal.set tofu, kale, brocolli |
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Iron
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Between 30 and 100 mg of elemental iron in divided doses
heme iron clams, oysters, liver, turkey, beef, non heme soybeans, lentils, molasses blackstap, prunes, side effects, nausea, abdominal cramping, tarry black stools |
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B vitamins
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1.4 mg/day
meat, organ meats, leafy green vegetables |
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vitamin c
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75 mg/day
citrus, tomatoes, greens |
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Folic acid
dosage for women of childbearing age |
CDC recommendations for women of childbearing age.
0.4 mg a day to prevent neural tube defects. |
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Lidocaine
indications dosages cautions |
Indications: use to relieve pain for suturing repair.
How Supplied: 1% 50 mL Multiple Dose Vial 2% 50 mL multiple Dose Vial/ dosage Not to exceed 3.2m/lb of body weight and generally recommended not to exceed 500mg. Usually 10 ml injected in and near wound site. Cautions: aspirate the needle to R/O placement in a vein |
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metheragine
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Indications PPH,
Conraindications Hypertension how supplied 0.2mg/ml in a 1-ml syringe, 0.2 mg tablets use/dosage 0.2 mg I.M. q 2 to 4 hours up to a maximum of 5 doses/ 0.2 mg P.O. q 6 to 8 hours for 2 to 7 days. |
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Pitocin
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Indications: PPH, active managment of third stage
Supplied: 10 units IM, or 10 to 40 units, in 1000 ml/ NS or lactated ringers. |
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Rhogam
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Indications, Rh- woman, at the time of birth, abortion or during pregnancy to prevent isoimunization.
How Delivered Injection IGIM 300mcg of Rh D immune globulin /vial Standard Dose 50 mcg of Rh D immune globulin/ vial micro dose Contraindications Rh (D) positive or Rh – DU positive patient. Hx of anaphylaxix or severe systemic reaction to human globulin |
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vitamin K
injectable |
Indications: prophylaxis for hemorrhagic disease of the newborn
0.5 to 1mg I.M. within 1 hour of birth. |
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Lidocaine
Contraindications Side effects |
Allergies to lidocaine
Systemic Light-headedness Apprehension Nervousness Dizziness Euphoria Drowsiness Tinnitus Excitability Blurred or double vision Sleepiness Respiratory depression Loss of consciousness Vomiting Sensations of heat or cold Cardiac Bradycardia Hypotension Cardiac arrest Allergic Cutaneous legions Uticaria Anaphylactic reactions Neurological Positional HA Hypotension |
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Ultrasounds
routine 1 st trimester |
Assess fetal gestational age
R/O ectopic pregnancy/molar pregnancy |
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Ultrasounds
routine 2nd trimester |
18 to 20 week anatomy scan to R/O fetal anomalies, with renal, pulmonary, cardiac systems, and neural tube and facial anomolies.
gender Placental placement, |
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Ultrasounds
Diagnostic 2nd and 3rd trimester |
Assess fetal growth
R/O IUGR, SGA, LGA at term fetal size may be +or- 10 % Fetal breathing movements AFI/amniotic fluid index R/O previa |
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Modified BPP
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Biophysical Profile
Includes: AFI, NST. |
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Kick counts
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schedule one session of fetal movement count a day.
chart how long it takes to reach 10 movements Report to midwife if htere are < 10 movements in 10hr. or if movement decreases, or if it takes longer than usual to reach 10 movements |
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Auscultated Fetal heart rate
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For use with low risk women, along with Fetal movement, to evaluate oxygenation of fetus,
Single fetus @ 34 weeks gestation or > Allen fetocope listern for 6 minutes record fetal heart rate q5 seconds chart on AAT graph |
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NST
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Non Stress Test
EFM |
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Amnihook
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Assess fetal station and wisdom of AROM. Use sterile gloved hand, place amnihook on palm side, on index finger, introduce into vagina.
gently advance until amnihook encounters the BOW and snag, releasing fluid. perform during CTX Before, after and during amniotomy FHTs monitored. Assess for cord prolapse. |
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Bag and Mask
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1 baby in sniff position
2 baby on warm station 3 apply bag 4 3 inhalation breaths |
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Using hemostats
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apply hemostats to the umbilical cord prior to cutting the cord
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Lancets
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using clean technique open lancet, and insert into lancet gun. clean finger and dry. Apply lancet gun to side of finger and trigger, gather blood on glucose strip or hemogominometer, or in capillary tubes.
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Nitrazine paper
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positive for amniotic fluid blue
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Catheter
equipment |
Sterile cath kit
catheter, anaesthetic gel, container to catch urine, cleasnsers, Sterile Gloves light source |
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Catheter
position |
Wash hands, ask for permission.
have mother in supine position with a shift off to one side, ask her place her ankles together and knees apart. Letting her legs fall open |
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Catheter
procedure |
hold labia apart with one hand. Using forceps grasp guaze and dip in cleanser and wipe from anterior to posterior starting at center then L labia, R labia. Repeat 3 times.
Visualize urethra Grasp catheter in dominant hand and dip in gel apply to urethra and insert until urine passes |
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Catheter
Indications |
inability to urinate or > 2 hours
palpation of a full bladder externally with inability to urinate |
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Blood Draws
Vacutainer Equipment |
drape, pillow to support arm, alcohol swab, gloves, tourniquet, vacutainer tubes, needle, needle holder/sleeve. butterfly
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Blood Draw
Procedure |
ask permission
wash hands assemble equipment examine patient for a "good vein" on arm or hand. Apply tourniquet, wash area apply needle to vacutainer needle holder, Stabilize vein insert needle at a 30degree angle push vacutainer onto needle and watch blood fill tube, switch tube. mix blood or spin tube or refridgerate as necessary |
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Multi dose vial medications
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Assemble supplies wash hands
wipe the top of the vial, open and close syringe, place fill needle on syringe. Holding multi dose vial upside down insert syringe and fill syringe. Remove syringe and place needle for injections. |
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Single vial
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Assemble supplies wash hands
open and close syringe, place fillter needle on syringe. using a guaze pad, grasp vial below neck place thumb of opposite hand above neck and break away from your body. Holding single dose ampule insert syringe and fill syringe. Remove syringe and place needle for injections. |
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Hematocrit HCT
Hemaglobin Hgb |
35 to 40 %
10 to 14 |
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VDRL
Syphillis |
Non reactive
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Blood Sugar
3 hour GTT Random |
Fasting 90
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Rubella
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Immune/no immunity detected
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HIV
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Antibodies
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Hepatitis B and C
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Im
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