CM final 4
Card Set Information
CM final 4
aa emory clinical methods
Clinical methods final - pregnancy
What is the chance of a unrecognized pregnancy in women presenting for ambulatory surgery?
Can pregnancy result in cancellation of surgery?
Who should receive a pregnancy test?
and female btw 15-50.
Pregnancy test types:
: 97% accurate
test measures exact amount of HCG in blood.
test gives yes or no to pregnancy
Surgery during pregnancy only conducted when _________ _________ for the wellbeing of the ______, _______, or both.
____ general anesthetic _______ placenta.
Regional anesthesia is ________, when practical.
0.75-2% of women require ____ -_______ surgery each year.
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.
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?
Decreased HR is seen in what trimester?
what happens to peripheral resistance in pregnancy?
FRC is __________ with pregnancy.
Vt is ______ with pregnancy
REsp ________ may be seen during pregnancy
GI changes during pregnancy (2)
Decreased esoph sphincter tone
What occurs with the Musculoskeletal system during pregnancy?
increased ligament taxity
Risk to pregnant pt:
hyoptension- aortocaval compression
risk of aspiration
Aortocaval compression can be avoided by using _____ _______ _________, and is seen after _____ weeks.
left uterine displacement
Fetal monitoring may be used when:
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