Flashcards in Intrapartum Care Deck (23):
Painful contractions in association with:
INvestigation when first start labour?
6 steps intrapartum care
Ax of progress
Foods and fluids?
Reasons for Abx? 4 weeks
Prolonged ruptures membranes: more than 18hours
suspected chorioamnionitis (fever)
How often vaginal exam during labout?
Every 4 hourly
20% of women
1 in 200 carriers serious fetal infection
1 in 5 fetal infection death or permanent disability
GBS if penicillin sensitive?
3 pharma pain relief
Nitrous (edge only)
Heroin (not in Australia)
morphine: 10mg 3-4 hourly
Pethiein: 100mg 3-4hourly
Fentanyl: IV infusion
How to treat respiratory depression in preg?
Naloxone for mother
Not for baby: stim cause don't want it to wear off before morphine is still on born
Why is narcotics doesn't work for labour? (Or renal colic)
Intermittency: can't give enough during peak
Fast way to get drugs in and out?
Epidural - large volume: catheter
Spinal: subarachnoid space: no catheter
Contraindication to regional analgesia
Absolute: allergy: infection
regional analgesia which drugs?
Bupivicaine, rope acting
Side effect of regional analgesia? Immediate?
Hypotension - COxTPR due to reflex sympathetic vasodilation of arterioles and venues
Rx: fluids or sympathomimetic
Which vessels are innervated By sympathetic return?
Arterioles and venules (reservoir)
Why not use colloids more in preg?
Adrenaline which receptors?
Adrenaline comes in what?
1ml: 1:1000 adrenaline