Podcast
Questions and Answers
Why is it recommended to administer metoclopramide and sodium citrate before induction in pregnant patients?
Why is it recommended to administer metoclopramide and sodium citrate before induction in pregnant patients?
- To promote maternal analgesia
- To prevent hypotension during anesthesia
- To reduce the risk of aspiration pneumonitis (correct)
- To enhance uterine contractions
Which vascular changes occur during pregnancy to accommodate increased cardiac output?
Which vascular changes occur during pregnancy to accommodate increased cardiac output?
- Decreased pulmonary vascular resistance (correct)
- Increased afterload
- Increased systemic vascular resistance
- Decreased venous capacitance
Which coagulation factor decreases during pregnancy? select all that apply
Which coagulation factor decreases during pregnancy? select all that apply
- Protein S (correct)
- Factor XI (correct)
- Factor XIII (correct)
- antithrombin III (correct)
What increases the risk of thromboembolism in postpartum patients?
What increases the risk of thromboembolism in postpartum patients?
What cardiac auscultation finding is commonly observed in pregnant patients?
What cardiac auscultation finding is commonly observed in pregnant patients?
Why is functional residual capacity (FRC) decreased in pregnancy?
Why is functional residual capacity (FRC) decreased in pregnancy?
Which physiological mechanism allows for oxygen transfer from maternal to fetal circulation?
Which physiological mechanism allows for oxygen transfer from maternal to fetal circulation?
What structural change in the heart is commonly seen in pregnant patients?
What structural change in the heart is commonly seen in pregnant patients?
What is the primary function of the intervillous space in the placenta?
What is the primary function of the intervillous space in the placenta?
Which fetal shunt allows oxygenated blood to bypass the lungs?
Which fetal shunt allows oxygenated blood to bypass the lungs?
Why is placental drug transfer reduced for neuromuscular blocking agents?
Why is placental drug transfer reduced for neuromuscular blocking agents?
Which medication is safest for anticoagulation in a pregnant patient with an artificial heart valve?
Which medication is safest for anticoagulation in a pregnant patient with an artificial heart valve?
Why are pregnant patients considered at higher risk of difficult airway management?
Why are pregnant patients considered at higher risk of difficult airway management?
Why does aortocaval compression lead to maternal hypotension?
Why does aortocaval compression lead to maternal hypotension?
What is the primary advantage of adding epinephrine to local anesthetics for neuraxial analgesia?
What is the primary advantage of adding epinephrine to local anesthetics for neuraxial analgesia?
Which type of drug is least likely to cross the placenta?
Which type of drug is least likely to cross the placenta?
How does pregnancy affect the epidural space and neuraxial anesthesia?
How does pregnancy affect the epidural space and neuraxial anesthesia?
What is the recommended treatment for Type 2 von Willebrand disease during labor?
What is the recommended treatment for Type 2 von Willebrand disease during labor?
Why is MAC reduced in pregnant patients?
Why is MAC reduced in pregnant patients?
What distinguishes uterine rupture from uterine atony?
What distinguishes uterine rupture from uterine atony?
Which is a characteristic finding in amniotic fluid embolism?
Which is a characteristic finding in amniotic fluid embolism?
What is unique about the WBC count during pregnancy?
What is unique about the WBC count during pregnancy?
What is the most significant factor in causing increased CO in the pregnant patient?
What is the most significant factor in causing increased CO in the pregnant patient?
How much does CO increase during pregnancy?
How much does CO increase during pregnancy?
When does the largest increase in CO occur?
When does the largest increase in CO occur?
What is the compensation for aortocaval syndrome?
What is the compensation for aortocaval syndrome?
What puts pregnant patients at risk for gallbladder disease?
What puts pregnant patients at risk for gallbladder disease?
What is uterine blood flow directly proportional to?
What is uterine blood flow directly proportional to?
What is uterine blood flow indirectly proportional to?
What is uterine blood flow indirectly proportional to?
What is the purpose behind increased plasma volume in pregnancy?
What is the purpose behind increased plasma volume in pregnancy?
What condition is associated with fetal acidosis?
What condition is associated with fetal acidosis?
What lung volumes increase during pregnancy?
What lung volumes increase during pregnancy?
What is the effect of pregnancy on the renal system?
What is the effect of pregnancy on the renal system?
What does the majority of uterine blood flow perfuse?
What does the majority of uterine blood flow perfuse?
Why is the first pass effect significant in the fetus?
Why is the first pass effect significant in the fetus?
What medications easily cross the placenta?
What medications easily cross the placenta?
What is a normal fetal HR?
What is a normal fetal HR?
What is the Ferguson reflex?
What is the Ferguson reflex?
What is the cause of ineffective pushing?
What is the cause of ineffective pushing?
What are the desired dermatomes for coverage in epidural anesthesia?
What are the desired dermatomes for coverage in epidural anesthesia?
How should local anesthetics (LA) be administered?
How should local anesthetics (LA) be administered?
What is a complication associated with a combined spinal-epidural (CSE)?
What is a complication associated with a combined spinal-epidural (CSE)?
What local anesthetics (LA) are typically used for labor epidurals?
What local anesthetics (LA) are typically used for labor epidurals?
What local anesthetics (LA) are typically used for c-sections?
What local anesthetics (LA) are typically used for c-sections?
What cranial nerve is most affected by post-dural puncture headache (PDPH)?
What cranial nerve is most affected by post-dural puncture headache (PDPH)?
What local anesthetics are associated with transient neurologic symptoms (TNS) and cauda equina syndrome?
What local anesthetics are associated with transient neurologic symptoms (TNS) and cauda equina syndrome?
What complications are associated with volatile anesthetics in obstetric patients?
What complications are associated with volatile anesthetics in obstetric patients?
At what minimum alveolar concentration (MAC) is there no impaired oxytocin response?
At what minimum alveolar concentration (MAC) is there no impaired oxytocin response?
By what mechanism are uterine contractions spared from the effects of neuromuscular blocking drugs (NMBD)?
By what mechanism are uterine contractions spared from the effects of neuromuscular blocking drugs (NMBD)?
When are induction medications administered during general anesthesia (GA) for an obstetric patient?
When are induction medications administered during general anesthesia (GA) for an obstetric patient?
What is gestational hypertension?
What is gestational hypertension?
What is pre-eclampsia?
What is pre-eclampsia?
What is severe pre-eclampsia?
What is severe pre-eclampsia?
What is true about the pregnant patient with multiple sclerosis (MS)?
What is true about the pregnant patient with multiple sclerosis (MS)?
Medications that DO NOT easily cross the placenta = He Is Going Nowhere Soon = heparin, insulin, glycopyrrolate, NDNMB, succinylcholine
Medications that DO NOT easily cross the placenta = He Is Going Nowhere Soon = heparin, insulin, glycopyrrolate, NDNMB, succinylcholine
Flashcards
Metoclopramide and sodium citrate before induction (pregnant)
Metoclopramide and sodium citrate before induction (pregnant)
Reduces risk of aspiration pneumonitis in pregnant patients before induction.
Pregnancy vascular changes
Pregnancy vascular changes
Decreased pulmonary vascular resistance and increased venous capacitance accommodate increased cardiac output.
Pregnancy coagulation factor decrease
Pregnancy coagulation factor decrease
Protein S decreases during pregnancy.
Postpartum thromboembolism risk
Postpartum thromboembolism risk
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Pregnancy cardiac auscultation
Pregnancy cardiac auscultation
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Functional Residual Capacity (FRC) in pregnancy
Functional Residual Capacity (FRC) in pregnancy
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Maternal-fetal oxygen transfer
Maternal-fetal oxygen transfer
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Heart structural change in pregnancy
Heart structural change in pregnancy
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Placental intervillous space function
Placental intervillous space function
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Fetal shunt (oxygen bypass)
Fetal shunt (oxygen bypass)
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Placental drug transfer (NMBA)
Placental drug transfer (NMBA)
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Anticoagulation during pregnancy (artificial heart valve)
Anticoagulation during pregnancy (artificial heart valve)
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Difficult airway risk (pregnancy)
Difficult airway risk (pregnancy)
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Aortocaval compression effect
Aortocaval compression effect
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Epinephrine in local anesthetics (neuraxial analgesia)
Epinephrine in local anesthetics (neuraxial analgesia)
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Placental drug crossing likelihood (least)
Placental drug crossing likelihood (least)
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Epidural space in pregnancy
Epidural space in pregnancy
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Von Willebrand disease treatment (labor)
Von Willebrand disease treatment (labor)
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MAC and pregnancy
MAC and pregnancy
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Uterine rupture vs. atony
Uterine rupture vs. atony
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Amniotic fluid embolism
Amniotic fluid embolism
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Pregnancy white blood cell count (WBC)
Pregnancy white blood cell count (WBC)
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Cardiac output (CO) increase in pregnancy cause
Cardiac output (CO) increase in pregnancy cause
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Cardiac output (CO) increase in pregnancy
Cardiac output (CO) increase in pregnancy
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Largest increase in CO during pregnancy
Largest increase in CO during pregnancy
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Aortocaval Syndrome Compensation
Aortocaval Syndrome Compensation
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Gallbladder disease risk in pregnancy
Gallbladder disease risk in pregnancy
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Uterine Blood Flow (relationship)
Uterine Blood Flow (relationship)
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Plasma Volume Increase Purpose
Plasma Volume Increase Purpose
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Fetal Acidosis Cause
Fetal Acidosis Cause
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