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Flashcards in OB pharm Deck (74)
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1

gold standard for induction

propofol

2

old gold standard for induction, which is still fine

thiopental

3

safe alternative to prop or thiopental but not well established in lit

etomidate

4

Is ketamine a good choice for induction?

it depends. isn't first line, but acceptable and safe. bronchodilator which is good, avoid in preeclampsia

5

Why do you want to avoid ketamine in preeclampsia?

catecholamines cause uterine vasoconstriction, BUT an increase in uterine blood flow is seen

6

Neonatal depression is seen w how much of ketamine dose?

1mg/kg

7

Why do opioids cross rapidly in to the placenta?

small and lipid sol

8

How soon after giving IV opioid is it detected in the fetal circulation?

one minute

9

What effects are seen from fentanyl?

depressant effects including beat to beat variation

10

Appropriate dose of fentanyl?

50-100 mcg/hr

11

Higher incidence of fetal suppression with this opioid and not used much any more?

morphine

12

This sedative medication is definitely contraindicated in the first trimester and usually not given after that either?

benzos

13

What common anesthetic medication is not acceptable for induction?

NMDRs

14

All volatile agents cause what to the uterus?

dose dep reduction in uterine blood flow and uterine relaxation

15

What % MAC inhalation depresses uterine contractility 25%? It is thought that pitocin can overcome this

2/3

16

Is NO an absolute no in pregnant person?

nope, debated heavily

17

How quickly after pitocin is given does it start working?

1 min

18

Pitocin should be given immediately after?

delivery of placenta

19

What does pitocin do?

stimulate muscle contractions

20

Typical pit dose and emergent pit dose?

20 u; 40 u

21

What can rapid admin of pit result in?

hypotension, tachycardia d/t preservative in pit

22

What is the drug class of methergine?

ergot alkaloid

23

What does methergine do?

causes intense and prolonged uterine contraction via smooth muscle stimulation

24

Dose and onset of methergine?

0.2mg IM 3-5 min

25

IV dose of methergine?

0.02 mg

26

If you give an IM dose the IV route for methergine what can it cause?

severe HTN

27

2nd line agent after methergine to stim muscle contractions?

hemabate

28

Hemabate must always be given this route?

IM

29

Typical dose, how often, and max of hemabate?

250 mcg, q 15-30 min, max of 1 mg

30

Side effects of hemabate

N/V, bronchospasm if given IV