Systemic
This is the ideal time to give systemic pain meds in labor
What is active phase?
The most common complication of epidural anesthesia.
What is hypotension?
The primary danger of general anesthesia for birth
What is fetal depression?
Sitting on the edge of the bed, with feet on a stool, and shoulders rolled forward
What is the position for a woman during epidural block placement?
Tingling and numbness in the tip of nose, lips, fingers or dizziness
What are signs and symptoms of hyperventilation?
These are reasons NOT to give systemic analgesics (without consultation with provider)?
Unstable vital signs, non-reassuring fetal heart rate, too close to delivery
Nursing interventions following an epidural
What are: watch for bladder distention, assess maternal vital signs, assess fetal heart rate, assist with positioning
Given prior to general anesthesia to reduce acidic content of stomach
What is an antacid (Bicitra)?
This may happen if narcotics given too early in labor
What is prolonged labor?
A professional support person for a laboring woman
What is a doula?
The usual dosage is 50-100 mcg every hour, has a short half life, baby less likely to have respiratory depression
What is Fentanyl?
Three common side effects of an epidural
What is: Pruritus, low grade fever, tenderness at the needle puncture site, urinary retention, headache
This is done to occlude the esophagus during intubation
What is cricoid pressure?
Provides perineal anesthesia for the 2nd stage of labor, birth, and episiotomy repair
What is a pudendal block?
Comfort measures for back labor
What is: counter-pressure, warm/cold packs, rocking, squatting
Push slowly via IV over 3 to 5 minutes
What is the correct way to administer IV narcotics to a labor patient?
Signs and symptoms which would alert the nurse of intravascular injection during epidural administration
What are: Metallic taste in the mouth, ringing in the ears, maternal tachycardia
These are reasons general anesthesia is given for a c-section
What are: Lack of time to place regional anesthesia, contraindications to regional anesthesia, failure to successfully insert regional anesthesia
This analgesic is used for labor pain, and is mixed with oxygen and self-administered.
What is Nitrous Oxide?
Light-touch massage
What is effleurage?
May precipitate drug withdrawal if the woman is physically dependent on narcotics
What is Nubain or Stadol?
These are contraindications for epidural anesthesia
What is: Platelet count less than 100,000/mm3, coagulation disorders, uncorrected hypovolemia
Increased risk of PP hemorrage, maternal aspiration, atelectasis
What are maternal complications of general anesthesia?
Medication commonly used to reverse maternal hypotension following an epidural block
What is a vasopressor? (ephedrine or phenylephrine)
Traditional technique of pain relief originated in Mexico
What is Rebozo?