Obstetrics Flashcards

(7 cards)

1
Q

What is the miscarriage rate for abdominal surgery in obstetric patients?

A

3 fold increase

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2
Q

What is hypertension in pregnancy?

A

> 140/110

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3
Q

What is PET?

A

Hypertension after 20 weeks with proteinuria, organ dysfunction or uteroplacental dysfunction

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4
Q

What are severe features of PET?

A

Uncontrolled HTN on 3 agents
SpO2 <90%
Progressive organ dysfunction

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5
Q

Treatment of Severe PET?

A

Magnesium 4g/10mins then 1-2g/hr
IV labetalol 20mg PRN
IV hydralazine 10-20mg if over 80mg IV labetalol given
Delivery before 37 weeks

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6
Q

Drugs for PET GA C section?

A

Propofol 2mg/kg
Alfentanil 25 mcg/kg
Labetalol 0.25mg/kg
Suxamethonium 1.5mg/kg

Continue Mg infusion and increase rate for laryngoscopy

Sevo/Nitrous maintenance
TIVA after delivery

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7
Q

Fluids in PET

A

Maintenance 80ml/hr + replace losses

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