AFE
The 4 cardinal signs of ASP or AFE
What are: Respiratory Failure
Hypotension
Altered Mental Status
DIC
The maximum amount of saline that can be put in a Bakri Balloon
What is 500 ml
Fundal checks?
Better than a preload, this will lessen the chance your patient becomes hypotensive after an epidural.
What is Co-load!!!!! Woop!
How?
The antidote to MH
What is dantrolene
Where is it located?
An intervention that has been shown to prevent 3rd and 4th degree tears.
What are the use of warm compresses during pushing?
The maximum amount of time from maternal cardiac arrest to delivery of the baby
What is 5 min
What are methergine 0.2mg IM, cytotec 800mcg rectal, hemabate IM, oxytocin vials 10u IM
Signs of magnesium toxicity
what are lethargy, decreased respiratory rate
what would you do first?
Reasons to use Nitroglycerin in OB emergencies
What are uterine inversion, difficulty getting baby out in c/s, fetal head entrapment during breech delivery
The color of the port used to backfill a Foley with dye.
What is blue
Medications that are experimental for tx of ASP/ AFE and not yet widely accepted by expert opinion. They have shown in several studies to reverse the symptoms of ASP or AFE. They have not been shown to exacerbate sxs.
What are the AOK meds.
The fluid that should be hung with blood.
What is NS. LR cannot infuse with RBCs. The preservatives in the blood react with the calcium in the LR and can cause clotting.
It is the antidote for magnesium toxicity
What is calcium gluconate
where?
when?
Where the c/s should take place, if a pregnant patient with a viable baby codes in the LDR.
In the LDR.
What do you need? Where do you find it?
Pack abd in LDR, do repair in OR after ROSC
The number of days a COVID positive patient stays on isolation precautions.
What is 20 days
True/False
AFE, ASE is predictable and preventable.
What is false
How the MTP is instigated
What is call the blood bank and say you are initiating the massive transfusion protocol on "patient's name". This will automatically include 2 units of RBCS- ready in 2 min. Then coolers will be available q 15 min until the blood bank is notified to stop. Blood will be uncrossed until T&C is completed.
These are given to prevent stroke when BPs are higher than 160/105, which is considered a medical emergency in a pregnant woman!
What are the hypertensive protocol drugs.
Labetalol, hydralazine, and/or procardia.
Which can be given without an IV?
Steps to get the crash cart in AED mode
pads on, turn to defib, hit analyze...
Dose of TXA
What is 1gm over 15 min
Give within ? hrs post hemorrhage/delivery
may repeat in ? min x ?
Where to find info?
Names and dosages of AOK meds
Atropine 1mg
Ondansteron 8mg
Ketorolac 30mg
The number one preventable cause of maternal death in the US and in GA.
What is hemorrhage
This drug is given to prevent seizures in preeclamptic patients.
3 risk factors for shoulder dystocia
no risk factor, GDM, macrosomia, maternal obesity
The use of this has not improved outcomes for moms or babies. It has increased c/s rates.
What is Electronic Fetal Monitoring