INTRODUCTION Hypertensive disorders of pregnancy‚ previously known as Pregnancy Induced Hypertension (PIH)‚ are high blood pressure disorders of pregnancy. It has long been one of the major problems for mothers in pregnancy‚ along with infection and postpartum hemorrhage. PIH is classified as gestational hypertension‚ mild preeclampsia‚ severe preeclampsia and eclampsia‚ depending on how far development advances. A woman is said to be preeclamptic when her blood pressure increases and shows protein
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Side Effects: pruritus‚ nausea and vomiting‚ and urinary retention Nursing implications: works in 30-60 minutes. Contraindications: allergy/hypersensitivity to morphine. Maternal Side effects: most common: confusion‚ sedation‚ constipation‚ hypotension‚ pruritus‚ urinary retention‚ nausea‚ and vomiting. Can cause resp depression which can cause neuro problems. Give they are obese taking mag. Sulfate or have sleep apnea are at a greater risk for resp depression.
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Pharmacodynamics Mechanisms of drug action: Drugs may act by: * A) Receptor mechanism: * Most drugs produce their action by binding to specific receptors located on the cell membrane (as adrenoceptors and cholinoceptors) or inside the cell (as steroid receptors). * This is the most important mechanism of drug action. * Drugs produce their effects by interacting with these receptors. * These drugs may be: a) Agonists: * Drugs have the affinity to bind with their
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HISTORY & PHYSICAL EXAMINATION HPI (history of present illness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting‚ Diarrhea‚ constipation‚ cough‚ vaginal discharge) O Onset of the symptom + precipitating factors P Progression D Duration C Constant /Intermittent S Settings F Frequency L Location of the symptom (forehead‚ wrist...) I Intensity of the symptom (scale 1-10‚ 6/10) Q Quality of symptom..BCDSPP(burning‚Cramping‚dull‚Sharp‚pulsating‚pressure like) R Radiation of
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Based upon the results of the assessment‚ multidisciplinary team members may provide a final diagnosis which assists in the development of treatment goals and intervention techniques. The diagnosis of traumatic brain injury may be classified based upon severity‚ which in turn may determine the prognosis of recovery. Severity types include mild‚ moderate‚ or severe. Mild traumatic brain injury is commonly known as a concussion. These types of injuries are often seen in sports. Concussions are
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Class | Drugs | MOA | Indications | Contraindications | Drug Effects/Interactions | Adverse Rxns | Unique | Beta1 Adrenergic Sympathomimetics | Dopamine/Intropin (neurotransmitter/catecholemine) | * Dopamin is the only receptor to stimulate these site * A precursor in synthesis of NE * Action: Beta agonist/alpha agonist- dose dependentDopaminergic | * Dilate renal blood vessels‚ brain‚ mesentery and heart vessels increased blood flow * Stimulate alpha/beta receptors/vasoconstrictor
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In Case Study #2 we look at Rivka a young physically active college student who participated in strenuous activities on a hot day without planning for proper hydration. In pronounced dehydration‚ hypotension can occur. How would this affect the glomerular filtration rate of the kidney? What actions by the juxtaglomerular apparatus would occur to restore GFR? The glomerular filtration rate would decrease with a decline in blood pressure. The juxtaglomerular apparatus participates in renal autoregulation
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Chapter 6 Study Guide Fluids‚ Electrolytes‚ and Acid-Base balance Compartmental Distribution of Body Fluids 2/3 of the body’s water is contained in the ICF‚ the remaining 1/3 is in the ECF ICF fluid volume is regulated by proteins and other non-diffusible organic compounds in cells Interstitial fluids (IF) act as a transport vehicle for gasses‚ nutrients‚ wastes‚ and other materials 14%-16% of body weight Reservoir for maintenance of vascular volume; used during hemorrhage
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Title: Safety of clonidine and quetiapine in post-cardiac surgery intensive care unit patients Purpose: Critical care of the cardiac surgical patient is a challenging and dynamic topic that requires a multidisciplinary team to ensure patient safety. Moreover‚ clonidine and quetiapine are commonly used agents in intensive care unit (ICU) settings. However‚ the safety of these agents in cardiac surgery patients is yet to be established. Hence‚ our goal is to assess the safety of oral clonidine and
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Page 1 ANAESTHESIA PRACTICE Issue 22 SPINAL ANAESTHESIA SPINAL CORD ANATOMY VERTEBRAE Vertebral column is central bony pillar of the body. It is composed of 33 vertebrae; 7 cervical‚ 12 thoracic‚ 5 lumbar‚ 5 sacral and 4 coccygeal. Sacral hiatus is th th formed because of incomplete 5 and sometime 4 sacral laminae. A typical vertebra consists of a rounded body anteriorly and a vertebral arch posteriorly (arch consists of two pedicles and two laminae). The vertebral arch encloses the vertebral
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