ABG - PH - ANS7.35-7.45 mm HG
ABG - PaCO2 range - ANS35-45 mm HG
ABG - PA02 - ANS80-100mm HG
ABG - BE - ANS-2 - 3 MeQ/L
CBC: Hemoglobin (Hgb) - what is the normal range? - ANSNormal Value: 14-17.5 G /DL
CBC: Hemoglobin (Hgb) - what do high and low values indicate? - ANSHigh value =
smoking?
Low value = anemia or blood loss?
CBC: Hematocrit - what is the normal range? - ANSNormal value = 41-50%
CBC: Hematocrit - what do high and low values indicate? - ANSHigh value = dehydrated?
Low value = anemia or blood loss?
CBC: WBC - what is the normal range? - ANSNormal value = 4500-11000
CBC: WBC - what do high and low values indicate? - ANSHigh value = infection, anemia,
steroid use
Low value = viral infection or immunodeficiency
CBC: RBC - what is the normal range? - ANSNormal value = 3.9-5.5 million mm3
CBC: RBC - what do high and low values indicate? - ANSHigh value = polycythemia or high
altitude
Low value = cancer or bone marrow suppression
Coags: PT - what does it measure & how long? - ANSCoumadin anticoagulation
10-13 second
Coags: PT - what do high values indicate? - ANSHigh values can indicate liver cirrohsis,
vitamin K deficiency or DIC
Coags: INR - ANSInternational normalized ratio. Normal INR = 1.0.
Coags: aPTT - what does it measure & how long? - ANSMeasures Heparin
25-40 second
, OB: What are some physiological changes which occur in pregnancy? - ANS-Blood volume
increases 40%
-Plasma increases, showing false anemia on labs
-BP decreases in 2nd trimester, but returns to normal
-Cardiac output increases, up to 50%
-HR increases 10-15 bpm
-SBP increases
-Body becomes more insulin resistant
-Uterus enlarges 20x
OB: Physical assessment of pregnant patient - ANSPalpate / Check vitals / Check FHT / Ask
GP-PAL
OB: What is GP-PAL - ANSGravida, Para, Preterms, Abortion, Living children
OB: Tx for distressed fetus? - ANS100% O2 via NRB on mother; place in LLR; give fluids for
hypotension and perform external vaginal exam
OB: Vaginal bleeding - caused by? - ANSOvarian cysts, spotting, fetal loss, ectopic
pregnancy or uterine rupture
OB: Vaginal bleeding - TX? - ANSO2/IV/Monitor
Manage blood loss
Blood products
Tx for shock
Monitor FHT
OB: Gestational hypertension - TX? - ANSTreat with:
-Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min
OB: Pre-eclampsia - S/S & TX? - ANSS/S = HTN with edema, neuro changes and clonus
TX = -Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min
(Delivery is only option to stop condition)
OB: Pre-eclampsia - severe S/S? - ANSBP >160/100
Pulmonary edema
Platelets under 100k
Headache/ vision changes
RUQ pain
Proteins in urine
OB: Eclampsia - S/S & TX? - ANSS/S - HTN with seizures