Random
Name 2 medications you would utilize for multimodal analgesia for a C-section
Tylenol
Toradol
Intrathecal/epidural/IV Opioids
Decadron
Options for anti-emetics in pregnancy?
Zofran
Phenergan
When does organogenesis occur in the fetus?
2-8 weeks gestation
Which of the following properties is most associated with the use of Nitrous Oxide for labor analgesia?
A: Anxiolysis
B: Nausea
C: Amnesia
D: Hypnosis
Anxiolysis
Name two classes of medications commonly used in anesthesia that cross the placenta
Opioids
Local Anesthetics
Propofol
Benzos
Beta blockers
When does peak respiratory depression from Neuraxial Morphine occur
18 hours after the dose
What is the most common cause of PPH?
A: uterine atony
B: placenta accreta
C: retained placenta
D: cervical laceration
Uterine atony
How long do you continue Magnesium therapy for pre-eclampsia?
Through delivery and up to 24 hours postpartum
What side effects could you see with Nitrous Oxide use?
Nausea/vomiting
Dizziness
Which of the following explains why 2-Chloroprocaine has a short onset time?
A: It is metabolized by plasma cholinesterase
B: the pKa is approx 9.0
C: It is usually given in high concentrations
D: It is a mu-receptor agonist
C
Which of the following is most likely to be a risk factor for peripartum cardiomyopathy?
A: maternal age < 20
B: single gestation
C: Preeclampsia
D: Caucasian race
Pre-eclampsia
Why do we pre-treat OB patients with pepcid and bicitra?
Increased risk of aspiration
Slowed gastric emptying during labor
Options for treatment of HYPOtension in OB patients
Phenylephrine
Ephedrine
Epinephrine
Name 2 contraindications to Nitrous Oxide
B12 deficiency
Inability to hold their own mask
Sedated: Mag, sedative medications, intoxicated
Abnormal air filled cavity: pneumothorax
Which statement about epidural fentanyl administration is MOST likely correct?
A: the risk of N/V is independent of the dose
B: It is associated with decreased risk of N/V compared to epidural morphine
C: It is associated with increased risk of N/V compared to epidural morphine
B
Name a medication you could utilize for rapid profound, yet short duration of uterine relaxation
Nitroglycerin (50 mcg IV) titrated to effect
Name a situation you would need quick, profound uterine relaxation
Before delivery: external version
Delivery: fetal head entrapment, extraction of 2nd twin
Post delivery: retained placenta
Are benzos safe in pregnancy?
Defend your answer
Maybe?
Does Nitrous Oxide provide good analgesia?
Defend your answer
No, studies show efficacy is relatively low but patient satisfaction is high
Contraindications to tocolytic therapy?
Chorioamnionitis
Fetal distress
Preeclampsia or Eclampsia
23 y/o pt. is POD #3 from C-section for pre-eclampsia. On 3NW she experiences a generalized tonic-clonic seizure. What drug would be the anticonvulsant of choice?
Magnesium
Which of the following anti-hypertensive agents is MOST likely to be contraindicated in pregnancy?
A: Enalapril
B: Labetalol
C: Hydralazine
D: Nifedipine
A: Enalapril
You are caring for a 20y/o Jehovah's Witness with Postpartum bleeding 2/2 uterine atony. She has a history of severe asthma and is refusing blood products. What medication would you consider after additional Oxytocin?
Defend your choice
Methergine
TXA
Pain control options in labor besides and epidural
Nitrous Oxide
Drugs/classes of medications that do NOT cross the placenta
Heparin
Glycopyrrolate
Insulin
Paralytics