paheli
It'sAllAboutGoodKarma
Topics: 197
Posts: 2,720
|
Normal 0 false false false MicrosoftInternetExplorer4
/* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;}
24. A 19-year-old woman, gravida 2, para 1, at 39
weeks' gestation
is admitted in labor. Contractions occur every 2 to 3
minutes. The
cervix is 4 cm dilated and 80% effaced. She requests
an epidural for pain
control. Ten minutes after the epidural is
administered, she becomes
nauseated and diaphoretic and vomits. Her blood
pressure is 60/palpable
mm Hg. A fetal heart tracing shows sustained fetal
decelerations. The
cervix is now 8 cm dilated. The most appropriate next
step in
management is administration of which of the
following?
A
) Ephedrine
B
) Magnesium sulfate
C
) Nifedipine
D
) Oxytocin
E
) Terbutaline
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows. Internship, Here I come!!
|
| draashna
Forum Junior
Topics: 11
Posts: 61
|
A.
|
| nightflight1945
banned
Topics: 32
Posts: 920
|
Ephedrine
|
| Destination
Forum Junior
Topics: 14
Posts: 52
|
please explain the answers
|
| nightflight1945
banned
Topics: 32
Posts: 920
|
In epidural aneshesia , there is a small probability of sympathetic block due to leakage of the anesthetic substance (it is more common in spinal anes) and this is the event that has happened in this patient .Her blood pressure is 60/palpable.
In these cases follow the below steps:
1-put the patient in trendelenberg position
2-IV fluids
3-alpha agonist administration : ephedrine and phenyl ephrine ...
|
|
| |
| | | | | |
