Childbirth notes 3.txt

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  1. Magnesium sulfate indications
    decrease seizures with eclampsia; tocolytic
  2. Magnesium sulfate contraindications
    HTN, vaginal bleeding, cardiac disease
  3. Magnesium sulfate adverse reactions
    keep calcium gluconate around; hypocalcemia; low RR, SOA; headache
  4. Oxytocin indications
    contraction of the uterus, decreases bleeding, used in induction of labor
  5. Oxytocin contraincidations
  6. Oxytocin adverse reactions
    infrequent water intoxication, nausea, vomiting, placental abruption, uterine rupture, PPH, infection
  7. Terbutaline indications
    relaxes smooth muscle inhibiting uterine activity and causing bronchodilation
  8. Terbutaline contraindications
    women with cardiac disease, DM, HTN, eclampsia, migraines, hyperthyroidism, significant hemorrhage
  9. Terbutaline adverse reactions
    tachycardia, dizziness, nervousness, headache, nasal congestion, nausea and vomiting, hypokalemia, hyperglycemia, hypotension; bad if HR>130, BP<90/60
  10. Methergine indications
    contraction of uterus (decreases bleeding)
  11. Methergine contraindications
    HTN, cardiac disease
  12. Methergine adverse reactions
    HTN, nausea, vomiting, headache
  13. Steroids
    stimulate fetal lung maturity
  14. Non stress test reactive
    2 accelerations in a 20 minute period each lasting at least 15 seconds and peaking at least 15 BPM above the baseline (before 32 weeks of gestation, alleleration is an increase of at least 10 BPM and leasting at least 10 seconds)
  15. Non stress test nonreactive
    does not produce two or more qualifying accelerations in a 20 minute period
  16. Stress test
    negative (no late decelerations-desired result)
  17. Positive stress test
    IUFD, late FHR decels in labor, IUGR and meconium stained amniotic fluid
  18. Positive stress test interpretation
    late decels occur with 50% or more of contractions
  19. Normal FHR
    120-160 BPM
  20. Variable decelerations interventions
    reposition, administer O2 by nonrebreather face mask, assess for prolapsed cord, notify physician
  21. Late deceleration interventions
    reposition/elevate legs, increase rate of IV/bolus, DC oxytocin, administer O2, notify dr, amnioinfusion, tocolytic therapy
  22. Assessment for uterine inversion
    hemorrhage, shock, pain in absence of a palpable fundus abdominally; complete-large rounded mass outside uterus; incomplete-a smooth mass palpated through the dilated cervix
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Childbirth notes 3.txt
Childbirth notes 3
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