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30 Cards in this Set
- Front
- Back
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Goals of labor pain relief: |
Alleviate pain without interfering with labor |
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Goals of labor pain relief: |
No undue risk to mother or fetus |
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Goals of labor pain relief: |
Provides good working conditions for OB |
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Goals of labor pain relief: |
No interference with mother infant bonding |
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Method of labor pain relief: |
Non-pharmacological methods |
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Method of labor pain relief: |
Systemic meds |
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Method of labor pain relief: |
RA |
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Method of labor pain relief: |
Inhalational analgesia |
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Method of labor pain relief: |
Maternal grit |
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Method of pain relief with low success and minimal physiological interference |
Hypnosis |
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Method of pain relief good in early labor |
Natural childbirth |
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Method of pain relief that has variable success |
Natural childbirth |
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Method of pain relief that reduces analgesic requirements |
Natural childbirth |
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Method of pain relief where motivation is key to success |
Natural childbirth |
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Advantage of systemic meds |
Long hx of safe use |
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Advantage of systemic meds |
Given t/o labor |
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Advantage of systemic meds |
Easy and cheap |
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Disadvantage of systemic meds |
Maternal and fetal resp depression |
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Disadvantage of systemic meds |
Diminishes FHR variability |
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Merperidine: resp depression ______ later d/t metabolite normeperidine |
2-3 hours |
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Fentanyl benefits |
Short acting; can give PCA |
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Benefit of narcotic agonists/antagonist |
Ceiling on resp depression |
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Narcotic agonist/antagonist |
Butorphanol |
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When is IV PCA used for labor? |
When LEA is contraindicated |
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Loading dose of IV PCA fentanyl |
50-100 mcg |
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Bolus dose of IV PCA fentanyl |
25-50 mcg |
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Dilute remi for IV PCA __ in ____ saline |
1 mg; 30 mls |
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Remi concentration for IV PCA is |
33 mcg/ml |
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Remi for IV PCA bolus dose |
0.5 mcg/kg |
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Is controversial d/t risk of maternal aspiration |
Inhalational analgesia |
