Pregnancy decreases MAC __ % at term - ANS- 40
Decreased MAC is mostly likely because of what 2 hormones - ANS- ^ progesterone
^ B-endorphin
Pregnancy causes a ___ sensitivity to LA - ANS- Enhanced
Pregnancy causes epidural venous ___ - ANS- Engorgement
Pregnancy causes __ CSF - ANS- Decreased...
___ is rarely utilized IV for laboring mom because of long duration, maternal sedation and fetal
depression - ANS- Morphine
___ pain med IV can be utilized in labor as PCA, has rapid metabolism, less satisfaction when compared
, with epidural - ANS- Remifentanil
Higher doses of butorphanol and nalbuphine do not result in ___ ___ - ANS- Respiratory depression
10 mg of morphine is = to ___ mg of butorphanol - ANS- 10
Avoid what people when giving butorphanol or nalbuphine - ANS- Opioid dependent pts
paracervical plexus block is for the ___ stage of labor - ANS- 1st
paracervical block is associated with high rate of fetal ___ because of the close proximity of injection site
to uterine artery - ANS- Bradycardia
Pudendal nerve block is perineal anesthesia for ___ stage of labor - ANS- 2nd
pudental nerve block risk (3) - ANS- - Iv injection
- hematoma
- abscess
Epidural. Test dose __ mL of 1.5% lidocaine with epi 1:200K - ANS- 3mL = 45 mg lido with 15 mcg of epi
How long do you wait after test dose - ANS- 3-5 min
Epidural initial bolus dose ___—___ lidocaine 1% or ropivacaine 0.2% +/- ___ fent - ANS- 6-8 mL
100mcg
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