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15 Cards in this Set
- Front
- Back
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What substances other than Pitocin ar eused to increase uterine tone in postpartum hemorrhage?
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prostaglandins
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Methylergovonine (and other ergot alkaloids) is NOT used however in pre-eclampsia because it's a potent vasoconstrcitor
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ok
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What is the main use for prostaglandins in labor?
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cervical ripening and induction
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What is the next step if you have already given oxytocin and you still see excessive bleeding...
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You would do an exploration for lacerations
So basically, you check to see if the uterus is contracted, check to see if there are any retained POCs |
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Can OT be given IV push?
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no
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How do you define postpartum hemorrhage?
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it's defined as bleeding over 500cc after VD and greater than 1000cc after C/S
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What is the most common cause of post partum hemorrhagE?
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uterine atony
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risk factors for uterine atony
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precipitous labor
multiparity general anesthesia oxytocin augmentation/induction prolonged labor chorioamnionitis macrosomia basically anything |
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risk factors for retained placenta
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C/S
fibroids prior D&C |
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most common etiology of uterine inversion
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tractionon the umbilical cord
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Another name for hypogastric artery
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internal iliac artery
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What if iliac artery embolization fails?
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hysterectomy for excess bleeding
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Which uterotonic is contraindicated in asthma patients?
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prostaglandin F2
Misoprostol is apparently ok however |
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What is the biggest risk factor for PPH in a woman with 3 prior cesarean deliveries and a low lying previa?
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placenta accreta
Accreta is a big risk with multiple C sections |
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CAn you give prostaglandins IV?
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NO- they will bronchoconstrict and can possibly lead to stroke
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