A 19-year-old woman, gravida 2, para 1, at 39 weeks' gestati

Discussion in 'Step 3' started by Fish., Aug 13, 2008.

  1. Fish.

    Fish. Guest

    A 19-year-old woman, gravida 2, para 1, at 39 weeks' gestation is admitted in labor. Contractions occur every 2 to 3 minutes. The cervix is 4 cm dilated and 80% effaced. She requests an epidural for pain control. Ten minutes after the epidural is administered, she becomes nauseated and diaphoretic and vomits. Her blood pressure is 60/palpable mm Hg. A fetal heart tracing shows sustained fetal decelerations. The cervix is now 8 cm dilated. The most appropriate next step in management is administration of which of the following?

    A ) Ephedrine

    B ) Magnesium sulfate

    C ) Nifedipine

    D ) Oxytocin

    E ) Terbutaline
  2. Guest

    Guest Guest

    Ephedrine is a sympathomimetic amine commonly used to treat anesthesia induced hypotension. Pt hopotension need to be addressed immediately for beter fetal perfusion
  3. Guest

    Guest Guest

    Mother Hypotension can be treated with I.V. fluid and Medication ,while fetal distress which is( sustained fetal decelerations) means Emergency cessarian ,at the same time tou are managing maternal hypotension , nad an option of epenephrin alone for epidural induce hypotension is strange .

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