Anesthesia and Analgesia for Obstetric
Patient | questions with 100% Correct
Verified Answers| Rated A
What monitors are used for C-Sxn? What's important for positioning, how/what does it help? -
ANS Routine.
Left Uterine Displacement: maintenance of uterine blood flow, relieves
aortocaval compression, avoids systemic hypotension.
Spinal anesthetics considerations regarding consent, aspiration precautions, volume status, and
monitoring? - ANS Obtain Informed Consent
30 ml NaCitrate PO
10 mg metoclopramide (unless contraindicated)
Volume expansion
Pre-load with crystalloid
Monitoring (including FHT)
For Spinal for C-Sxn, what kind of drug is usually selected, what size/type of needle,
maintain what, oxygen by, and side effect treatment includes? - ANS Hyperbaric bupivacaine
(can add opioids)
25-27 g Sprotte or Whitacre
Left Uterine Displacement
O2 by Face Mask
Treat Side Effects: Narcan (respiratory depression), phenylephrine/Ephedrine (hypotension).
,Tetracaine strength, dosing and duration for SAB? - ANS <65 inches=12 mg
>65 inches=14 mg
Duration 90-120 minutes
Lidocaine strength, dosing and duration for SAB? - ANS <65 inches=70 mg
>65 inches=80 mg
Duration=45-60 minutes
Bupivicaine strength, dosing and duration for SAB? - ANS <65 inches=10.5 mg
>65 inches=12 mg
Duration 90-120 minutes
Opioids that can be added to a spinal for C-Sxn? - ANS Fentanyl 25 ug
MSO4 200 ug
Contraindications for a C-Sxn spinal include what? - ANS Severe maternal bleeding
Severe maternal hypotension
Coagulation Disorders
Neurological Disorders
Patient Refusal
Short Stature & Morbidly Obese
Sepsis in local area or generalized
Complications of a spinal include? - ANS Post-dural puncture headache
Total spinal anesthesia
Local anesthetic toxicity-book complication.
, Neurological injury
Respiratory Depression
Incidence of post dural puncture headaches? What is the tx? - ANS 1/100
Caffeine, blood patch, flat bed rest
A total spinal would result in changes to, CV effects? Treatment is? - ANS Total spinal:
LOC, hypotension, bradycardia
Protect airway and support circulation.
Toxicity from local anesthetics is usually from what kind of dose? CV effects, Bup will result in
what kind of rhythm, tx is usually? - ANS Usually from massive injection, rarely cumulative dose.
Irritability, CV collapse (bupivacaine - VF)
Tx is usually supportive: support airway and circulation.
Neurological injury from a spinal injections can take what 3 forms? Always perform your spinal
below what level? - ANS Direct trauma
Epidural hematoma
Epidural abscess
Below L1-L2!!! Spinal cord ends
Respiratory depression is especially high with what intrathecal narcotic? - ANS MSO4
Epidural anesthetics considerations regarding consent, aspiration precautions, volume status,
and monitoring? With an Epidural you give a what dose? - ANS Obtain informed Consent
Bicitra 30 ml, metoclopramide 10 mg IV
Volume expansion
Monitoring (Including FHR)
Pre-load with crystalloid solution
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