the number of liveborn children a woman has delivered
A woman who has never completed a pregnancy beyond 20 weeks or a women that is pregnant for the first time.
Midazolam (Versed) Action, Use and Dose
To induce sedation and amnesia prior to cardioversion and other painful procedures
Adult dose: 1.0 to 2.5 mg slow IV 0.07-0.08 mg/kg IM (5mg is the usual dose)
Ped dose: 0.05 to 0.20 mg/kg IV 0.10 to 0.15 mg/kg IM 3 mg intranasal
Short acting benzodiazepine with CNS depressant, muscle relaxant, anticonvulsant and anterograde amnestic effect.
Calms the pt, relaxes skeletal muscles and in high doses produces sleep. Has less muscle relaxant properties than diazepam
Midazolam (Versed) contraindications and considerations
Contraindicated in pts with acute narrow-angle glaucoma, shock, coma, and acute alcohol intoxication. Use w/caution in pts with COPD, chronic renal failure, CHF, and elderly
IV injection should be diluted to concentration of 0.25mg/mL in NS or D5W. Aviod rapid injection which may cause respiratory depression
Verify with a physician before IV administration to neonates and infants
Inspect IV site for signs of extravasation during injection.
If pt is premedicated w/a narcotic agonist analgesic(pain reliever), the conscious sedation period may be marked by hypotension
Effects are prolonged in obese pts because half life is prolonged, so monitor vitals for entire recovery period
Midazolam (Versed) overdose symptoms
untoward effects on vital signs (adverse)
coordination problems (ataxia)
dysarthria (motor speech disorder)
inflammation of inner lining of bladder usually caused by bacterial infection
severe uterine pain during menstruation
Pelvic Inflammatory Disease (PID)
spectrum of infections in the female upper reproductive tract that starts in the vagina and travels to the fallopian tubes, ovaries and uterus
Treatment of PID
monitor vitals if BP drops pt is going into septic shock
Parkland Burn Formula
Used to guide fluid resuscitation in burn pts within the first 24 hours
TBSA (Total body surface area that was burned) x kg (weight of pt) x 4mL equals total amount of fluids to be given within 24hrs. Half of the total should be given within the first 8 hours. Rest of the total given over the next 16 hrs
the vascular channel in the fetus passing through the liver and joining the umbilical vein with the inferior vena cava. Before birth it carries highly oxygenated blood from the placenta to the fetal circulation. It closes shortly after birth as pulmonary circulation is established and as the vessels in the umbilical cord collapse and become occluded. Usually structurally closes within 3 to 7 days after term birth.
After it closes becomes know as ligamentum venosum.
Develops when blood flow to liver is blocked and the blood backs up into smaller vessels in esophagus causing them to swell. The vessels can rupture causing a life threatening condition.
Esophageal Varice Causes
Cirrohosis (liver failure)
Esophageal Varice S & S
Black, tarry or bloody stools
Decreased urination from unusually low blood pressure