Obstetrical Emergencies Flashcards
What is the primary medication for preeclampsia and eclampsia? What are the doses? And can you calculate the drip rates?
Magnesium sulfate:
Preeclampsia:
4 g/20 min. No faster than 1 g/min.
Eclampsia:
4 g/5 min. No faster than 1 g/min.
Maximum of 8 g total for both cases.
Maintenance dose is 5 g in 250 mL. Run at 100 mL/hour- 2 g/hour
How much does maternal blood pressure typically drop during pregnancy?
10 –15 mmHg
How much does maternal heart rate typically increase during pregnancy?
10 to 15 bpm
What position should pregnant women be transported in?
Left lateral recumbent
During CPR, what specific procedure should be done on pregnant women?
Lateral displacement of the stomach to the patient’s left side to inhibit the fetus from closing off blood supply to the heart through the vena cava.
How long post partum can a woman have eclamptic seizures?
2–3 weeks
What is normal blood loss for a woman who just gave birth?
350 to 500 mL
What is the oxytocin dose for postpartum hemorrhage?
10 units in 250 mL add a rate to control bleeding through uterine contractions. Usually 250 mL is given over 5 - 10 minutes. May repeat in 10 minutes. Max dose of 10 units.
When does blood loss become concerning postpartum? What are the signs and symptoms? And what medication may be used to help with stopping blood loss?
BP < 90 systolic.
HR > 110
Suspected blood loss of >= 350 - 500 mL
Transexamic Acid:
2 g in 250 mL/10 minutes.
No pump necessary.
Utero tonic medications are priority over transexamic acid, but often are preferred.
Skin to skin contact with the baby, and nursing are also considered very helpful.
