Pressure's On!
Blood pressure values that are considered a hypertensive emergency.
What is ≥ 160 SBP and/or ≥110 DBP?
What is: Loss of reflexes, respiratory depression, respiratory arrest, cardiac arrest?
What are:
• McRoberts Maneuver
• Suprapubic Pressure
• Rubins Maneuver
• Wood Screw Maneuver
• Reverse Wood Screw Maneuver
• Delivery of Posterior Arm?
What is ordered for patients with a High PPH Risk Score upon admission to L&D?
What are 2 18-gauge IVs?
2 considerations when administering labetalol.
What is maternal HR <60 & asthma?
This PPH medication should be avoided in patients with asthma.
What is hemabate?
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%?
Suction settings for Jada.
What is 80 mm Hg continuous?
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?
This PPH medication should be avoided in patients with HTN.
What is methergine?
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?
Treatments for "Tone" as a cause of PPH.
What is:
• Fundal massage
• Empty bladder
• Administer uterotonics
• JADA/Balloon Tamponade?
The target threshold for the treatment of acute hypertension.
What is SBP: 130-150 & DBP: 80-100?
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?
Stages for PPH.
What is:
Stage 0: 0-499mL
Stage 1: 500-999mL
Stage 2: 1000-1500mL
Stage 3: >1500mL
Stage 4: Cardiovascular Collapse?
What is:
⚬BP >/= 160/110
⚬Thrombocytopenia
⚬>Liver enzymes, RUQ pain
⚬Renal insufficiency, serum creatinine >1.1
⚬Pulmonary edema
⚬New onset headache, unrelieved by medication?
Maximum dose of IV labetalol & hydralazine in 24 hours.
What is labetalol 220 mg and hydralazine 25 mg?
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?
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?