OB/GYN

Question 1

Uterine Artery Embolization (UAE)

Answer 1

• Minimally invasive surgical procedure during in which the uterine arteries are occluded through a sclerosing solution or hemostatic gelatin
• Also known as: uterine fibroid embolization
• Treats adenomyosis, uterine fibroid, obstetric hemorrhage caused by placental disorders
• C/I - not for women who wish to achieve future pregnancy

Question 2

Surgical prophylaxis ABX

Answer 2

• 1-2 hours before (except clindamycin and vancomycin which need more time)
• Continued no longer than 48 hours postop

Question 3

LAST

Answer 3

• Local anesthetic systemic toxicity
• Cardiac rhythm most critical parameter to monitor = arrhythmias and cardiovascular collapse
• Urinary output is a secondary concern in management

Question 4

Uterine Atony

Answer 4

• Failure of myometrial cells to adequately contract in response to endogenous (or exogenous) oxytocin
• More likely in multigravidas, multiple gestation, hydramnios (excessive amniotic fluid), uterine infection
• Preventative: IV oxytocin and fundal massage
• If no improvement = 10 units oxytocin injected into uterus

Question 5

Methergine

Answer 5

Tx: obstetric hemorrhage
Route: IV or IM

Question 6

Vasopressin

Answer 6

Admin by IV to stop bleeding

Question 7

Mag Sulf

Answer 7

• Stops uterine contractions