Flashcards in OB pharm Deck (74)
gold standard for induction
old gold standard for induction, which is still fine
safe alternative to prop or thiopental but not well established in lit
Is ketamine a good choice for induction?
it depends. isn't first line, but acceptable and safe. bronchodilator which is good, avoid in preeclampsia
Why do you want to avoid ketamine in preeclampsia?
catecholamines cause uterine vasoconstriction, BUT an increase in uterine blood flow is seen
Neonatal depression is seen w how much of ketamine dose?
Why do opioids cross rapidly in to the placenta?
small and lipid sol
How soon after giving IV opioid is it detected in the fetal circulation?
What effects are seen from fentanyl?
depressant effects including beat to beat variation
Appropriate dose of fentanyl?
Higher incidence of fetal suppression with this opioid and not used much any more?
This sedative medication is definitely contraindicated in the first trimester and usually not given after that either?
What common anesthetic medication is not acceptable for induction?
All volatile agents cause what to the uterus?
dose dep reduction in uterine blood flow and uterine relaxation
What % MAC inhalation depresses uterine contractility 25%? It is thought that pitocin can overcome this
Is NO an absolute no in pregnant person?
nope, debated heavily
How quickly after pitocin is given does it start working?
Pitocin should be given immediately after?
delivery of placenta
What does pitocin do?
stimulate muscle contractions
Typical pit dose and emergent pit dose?
20 u; 40 u
What can rapid admin of pit result in?
hypotension, tachycardia d/t preservative in pit
What is the drug class of methergine?
What does methergine do?
causes intense and prolonged uterine contraction via smooth muscle stimulation
Dose and onset of methergine?
0.2mg IM 3-5 min
IV dose of methergine?
If you give an IM dose the IV route for methergine what can it cause?
2nd line agent after methergine to stim muscle contractions?
Hemabate must always be given this route?
Typical dose, how often, and max of hemabate?
250 mcg, q 15-30 min, max of 1 mg