CM final 4

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Author:
Anonymous
ID:
211990
Filename:
CM final 4
Updated:
2013-04-07 15:44:20
Tags:
aa emory clinical methods
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Description:
Clinical methods final - pregnancy
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  1. What is the chance of a unrecognized pregnancy in women presenting for ambulatory surgery?
    0.3%
  2. Can pregnancy result in cancellation of surgery?
    Yes
  3. Who should receive a pregnancy test?
    and female btw 15-50.
  4. Pregnancy test types:
    • URINE: 97% accurate
    • BLOOD: quantitative blood test measures exact amount of HCG in blood.
    • qualitative blood test gives yes or no to pregnancy
  5. Surgery during pregnancy only conducted when _________ _________ for the wellbeing of the ______, _______, or both.
    • absolutely necessary
    • mother
    • fetus
  6. ____ general anesthetic _______ placenta.
    • ALL
    • crosses
  7. Regional anesthesia is ________, when practical.
    preferred
  8. 0.75-2% of women require ____ -_______ surgery each year.
    non-obstetric
  9. Where should surgery be performed on pregnant women? Who should be available during surgery for the mother and baby(2)?
    • an institution with neonatal and ped services
    • surgeon with c-section delivery privelages AND someone with ability to interpret fetal heart rate patterns.
  10. Pre-op eval and pregnancy:
    • Understand risks by trimester
    • know which fetal assesments have been performed to date
    • Has primary service Ob/Gyn been consulted?
  11. Decreased HR is seen in what trimester?
    SECOND
  12. what happens to peripheral resistance in pregnancy?
    DECREASED
  13. FRC is __________ with pregnancy.
    decreased
  14. Vt is ______ with pregnancy
    increased
  15. REsp ________ may be seen during pregnancy
    alkalosis
  16. GI changes during pregnancy (2)
    • Decreased motility
    • Decreased esoph sphincter tone
  17. What occurs with the Musculoskeletal system during pregnancy?
    increased ligament taxity
  18. Risk to pregnant pt:
    • Hypoxia
    • difficult intubation
    • hyoptension- aortocaval compression
    • risk of aspiration
  19. Aortocaval compression can be avoided by using _____ _______ _________, and is seen after _____ weeks.
    • left uterine displacement
    • 20
  20. Fetal monitoring may be used when:
    • fetus viable
    • physically possible
    • healthcare provider w obstetric surgical privelages, willing to intervene during procedure for fetal indications
    • women has given consent for emergent c-section
    • nature of surgery allows for safe interruption or alteration of procedure to provide access to perform emergency surgery

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