Pressure's On!
Meds or Mayhem?
Pregnancy Plot Twist
Leak Lockdown
100

Blood pressure values that are considered a hypertensive emergency.

What is ≥ 160 SBP and/or ≥110 DBP?

100
Signs & symptoms of magnesium toxicity.

What is: Loss of reflexes, respiratory depression, respiratory arrest, cardiac arrest?

100
2 maneuvers for relieving a shoulder dystocia.

What are:

• McRoberts Maneuver

• Suprapubic Pressure

• Rubins Maneuver

• Wood Screw Maneuver

• Reverse Wood Screw Maneuver

• Delivery of Posterior Arm?

100

What is ordered for patients with a High PPH Risk Score upon admission to L&D?

What are 2 18-gauge IVs?

200

2 considerations when administering labetalol.

What is maternal HR <60 & asthma?

200

This PPH medication should be avoided in patients with asthma.

What is hemabate?

200

2 SIRS criteria for pregnant patients 20 weeks through 3 days post-delivery.

What are:

• Temp ≥ 100.4 F or < 96.8 F

• HR > 110

• Respirations > 24

• WBC > 15 or < 4 or bands > 10%?

200

Suction settings for Jada.

What is 80 mm Hg continuous?

300

Required monitoring during Magnesium Sulfate administration.

What is: 

•Hourly assessment: DTR’s, neurologic status

•Assess lung sounds every 4 hours

•Strict I/O’s

•Vitals every hour

•Continuous pulse oximetry

•Continuous fetal monitoring?

300

This PPH medication should be avoided in patients with HTN.

What is methergine?

300

Response to lab technician who comes to collect blood cultures on your septic patient who has already had antibiotics initiated. 

What is: continue with blood culture collection even if antibiotics have already been initiated?

300

Treatments for "Tone" as a cause of PPH.

What is:

• Fundal massage

• Empty bladder

• Administer uterotonics

• JADA/Balloon Tamponade?

400

The target threshold for the treatment of acute hypertension.

What is SBP: 130-150 & DBP: 80-100?

400
Reversal agent for magnesium toxicity.
What is calcium gluconate or calcium chloride?
400

Organ dysfunction in maternal sepsis.

What is:

• SBP <85 or MAP < 65 or SBP decrease > 40

• Non-laboring lactate > 2

• Active labor lactate ≥ 4

• Cr >1.2 or >0.5 above baseline

• Mechanical ventilation

• Urine output < 0.5ml/kg/hr x 2 hours

• Bilirubin > 2 

• Platelets < 100

• INR > 1.5 or aPTT > 60 sec?

400

Stages for PPH.

What is:

Stage 0: 0-499mL

Stage 1: 500-999mL

Stage 2: 1000-1500mL

Stage 3: >1500mL

Stage 4: Cardiovascular Collapse?

500
Severe features of preeclampsia.

What is:

⚬BP >/= 160/110

⚬Thrombocytopenia

⚬>Liver enzymes, RUQ pain

⚬Renal insufficiency, serum creatinine >1.1

⚬Pulmonary edema

⚬New onset headache, unrelieved by medication?

500

Maximum dose of IV labetalol & hydralazine in 24 hours.

What is labetalol 220 mg and hydralazine 25 mg?

500
The HELPERR pneumonic for managing shoulder dystocia stands for.

What is:

•H: Call for Help

•E: Evaluate need for episiotomy

•L: Legs-McRoberts maneuver

•P: Pressure-Suprapubic pressure

•E: Enter- Internal rotational maneuvers

•R: Remove posterior arm

•R: Roll-Hands and knees position?

500

PPH medications, doses, & routes.

What are:

• Oxytocin 10u IM or 30 u/500mL IV

• Cytotec 1000 mg rectal

• Methergine 0.2 mg IM

• Hemabate 0.25 mcg IM

• TXA 1000 mg IV?

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