| Lap Counter | What A Shocker | Wound Vac on Isle 5 | Bugs Beware | No Air Knots Here |
|---|---|---|---|---|
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What is early and late postpartum hemorrhage?
- >500cc for vag or >1000cc for c/s - Early (up to 24h): retained POC, lacs, coagulopathy, uterine atony/inversion/rupture - Late (24h-6w): retained POC, infection/endometritis, subinvolution of placental sit
Defines the two major classifications of blood loss after delivery.
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What is Embolism?
Embolism 17% Hypertension 12% Ectopic Pregnancy 10% Hemorrhage 9% (Note-- if ectopic and hemorrhage are combined, then hemorrhage would be the #1 cause of maternal death)
Most common cause of maternal death
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What is inflammation, migration, proliferation and maturation?
4 phases of wound healing
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What is cefazolin?
Alternatives: clinda+ gent or quinolone or aztreonam Metronidazone + gent or quinolone (preferred for immediate PCN hypersensitivity)
Antibiotic used in hysterectomy or urogyn procedures
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What is Vicryl?
Synthetic absorbable suture with half life of 2 weeks
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What is fibrinogen?
Whole blood has 600-700mg +RBCs, plasma (packed RBCs have no plasma or fibrinogen) FFP has 600-700mg + Antithrombin 3, Factor 5/8 Cryoprecipitate has 200mg + Factor 5/8/13
Common element in whole blood, fresh frozen plasma, and cryoprecipitate.
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What is obstructive shock?
Types of shock include hypovolemic, hemorrhagic, distributive, cardiogenic, obstructive, and septic
Type of shock associated with mechanical obstruction of blood flow
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What is a Contaminated (Type III) wound?
Wound classifed by a break in sterile technique
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What is none?
Antibiotic used in laparoscopy
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What is Silk?
Nonsynthetic nonabsorbable suture
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What are complications of massive transfusion of giving > 6 units PRBCs?
- give FFP and cryopreciptate to prevent DIC - Blood is stored cold, monitor temps - Citrate in blood binds to Ca, give Ca gluconate prn - pH of stored blood is 6.9-7.0
Can cause dilutional DIC, hypothermia, hypocalcemia, hyperkalemia, acidosis, and ARDS when trying to treat severe hemorrhage
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What is septic shock?
Decreased pulm capillary wedge pressure, increased cardiac output, decreased systemic vascular resistance
Type of shock that has increased cardiac output
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What is a Clean Contaminated (Type II) wound?
Wound classification following a GU tract surgery
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What is doxycycline?
*with history of PID or procedure shows dilated fallopian tubes.
Antibiotic used in hysterosalpingogram
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What is PDS?
Synthetic absorbable suture with half life of 3-6 weeks
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What is acute hemolytic transfusion reaction?
-Acute: min-hrs, immune mediated, ABO incompatibility, STOP transfusion - Delayed (days-weeks): low Hgb with high bilirubin - Non-hemolytic **most common - Urticaria alone - Anaphylaxis
Reaction occurs within minutes to hours of a blood transfusion
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What are acute pyelo, septic abortion, chorioamnionitis and endometritis?
4 most common causes of septic shock in obstetrics
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What is Maturation?
3 weeks to 2 years
Stage of healing characterized by collagen and scar tissue formation
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What is BMI of 35 or >200lb?
Recommended 2gm dosing of Cefazolin in patient with this BMI or weight
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What is plain gut?
Absorbable non-synthetic suture with half life of 7 days
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What is Class III hemorrhage?
- Class I to IV
Class of hemorrhage in pt with 1500-2000 mL blood loss, HR 120s, R >20, low BP, anxious and pale
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What are E coli, K pneumoniae, and proteus species?
Endotoxin released from cell wall of gram neg bacilli causes multiorgan dysfunction
3 most common organisms that cause septic shock in OB
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What is a Clean (Type I) wound?
Wound classifed by an operation under ideal operating conditions
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What is none?
Antibiotic used with urodynamic studies?
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What is chromic?
Absorbable non-synthetic suture with half life of 21 days
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