1. Most common cause of shock in peds - ANSWER Hypovolemic:
dehydration, diabetes, heat illness, hemorrhage, burns
2. Hypovolemic shock treatment - ANSWER - NS or LR
- 20ml/kg body weight
- no more than 60ml/kg, unless ongoing loss is severe
- no response, PRBC transfusion
6. Cardiogenic shock tx - ANSWER - bolus of crystalloid
- pressors and possibly afterload reducers
- ICU
7. S/S Cardiogenic shock - ANSWER abnormal cardiac rhythm, distended neck
veins, rales, abd hrt sounds, friction rub, narrow pulse pressure, hepatomegaly
- cxr may show cardiomegaly & pulmonary edema
8. Obstructive shock - ANSWER physical obstruction of blood circulation and
inadequate blood oxygenation
9. Gonorrhea infection during pregnancy - ANSWER ophthalmic injury,
preterm labor, premature rupture of membranes and intrapartum/postpartum
infection.
10. Drug of choice to treat Gonorrhea during pregnancy - ANSWER
Ceftriaxone 125 mg IM or 1 gm IV qday for disseminated disease. Patients with a
PCN allergy are treated with 2gm IM dose of spectinomycin.
11. Drug of choice to treat Chlamydia during pregnancy - ANSWER
Azithromycin 1gm. An alternate treatment is Amoxicillin 500mg TID for 7 days. 2-3
weeks after completion of treatment a "test of cure" is performed. High risk
populations are tested again at 35-37 weeks EGA.
,12. Drug of choice to treat Herpes Simplex Virus during pregnancy - ANSWER
Acyclovir 400 mg BID or Valacyclovir 1000 mg daily
13. The goal of antiretroviral treatment, AZT, in HIV positive mothers - ANSWER
appropriately treat the mother, reduce viral load and minimize perinatal HIV
transmission
14. When is a C-section recommended for HIV positive mothers - ANSWER
When maternal viral load is >1000 copies/ml
15. Drug of choice to treat Trichomonas during pregnancy - ANSWER
Metronidazole is 95% effective, single dose of 2 gm OR 500 mg BID for 7 days OR
250 mg TID for 7 days
Drug of choice to treat uncomplicated Candidiasis during pregnancy - ANSWER
topical miconazole, terconazole, clotrimazole or butoconazole are given for 3-
7 days
Drug of choice to treat refractory Candidiasis during pregnancy - ANSWER A
single dose of Fluconazole 150 mg
, A polymicrobial vaginal infection associated with preterm labor, preterm
premature rupture of membranes, chorioamnionitis and endometritis. - ANSWER
Bacterial Vaginosis
Frequency of subsequent prenatal visits "the standard schedule: in
uncomplicated patients is: - ANSWER every 4 weeks from 0 to 32 weeks
every 2 weeks from 32 to 36 weeks
weekly after 36 weeks
Measurements taken at each prenatal visit include: - ANSWER maternal
weight
uterine fundal height
maternal BP
urinalysis by dipstick
FHTs
What is considered to be appropriate weight gain during a singleton pregnancy -
ANSWER 25-33 pounds (11.5 - 16 kg)
BP changes during pregnancy - ANSWER decrease 5-7mm (systolic and
diastolic) early in the second trimester
returns to normal in the third trimester.
What finding may precede proteinuria in patients with PIH - ANSWER BP
elevation
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NURSINGDICTIONARY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
