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what are some problems associated w/ umbilical cord and placenta
- prolapse of the umbilical cord
- placenta previa
- placenta abruption
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when umbilical cord is delivered down the pelvic/vagina before the fetus
more common in breached births
there for causing the fetus to compress the umbilical btwn itself and the pelvic wall
prolapse of the umbilical cord
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when the placenta partially or completely covers up the cervical opening
causing fetus to have problems getting through partial opening or completely preventing from getting through cervical opening
placenta previa
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premature separation of the placenta from the uterine wall
usually will sent mom into labor
most common cause is HTN
placenta abruption
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what are the names of the medications in NALS
- epinephrine
- volume expanders
- sodium bicarbonate
- narcan
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inc hr, inc myocardial contractions, inc bloodflow to vital organs
can be given down to ETT or IV every 3-5 min in CPR
epinephrine
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saline, blood products, both given to increase hypotension, very weak pulses, or pallard color
volume expanders
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given for metabolic acidosis, any prolonged resp effect
sodium bicarbonate
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12 medications used for PALS
- epinephrine
- vasopressin
- glucose (dextrose)
- sodium bicarbonate
- calcium chloride
- dopamine
- dobutamine
- norepinephrine aka levophed
- sodium nitroprusside aka nipride
- milrinone aka primacor
- narcan
- prostaglandin E1
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casoconstrictor, used for hypotension
vasopressin
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used for infants and really sick children bc they have limited stored of glycogen, they can become hypothermic very quickly
glucose (dextrose)
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given for hypocalcemia and for high potassium level
calcium chloride
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used for BP and helps to inhace cardiac outpout, helps heart to pump stronger, inc cardiac output
dopamine
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inc contractility, inc hr
dobutamine
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vasoconstrictor, used for low BP, very potent vasoconstrictor
norepinephrine aka levophed
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vasodilator, decreases BP
sodium nitroprusside aka nipride
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inc force of contraction, used in situations of shock
milrinone aka primacor
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helps to keep smooth muscle to stay open, used when pediatric pt have a congenital heart defect
prostaglandine E1
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what are the medication that can be given down the ETT
- litocain
- epinephrine
- atropine (used for bradycardia, inc hr)
- narcan
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