NURS 461 Study Guide - Quiz Guide: Analgesic, Hyperglycemia, Congenital Disorder
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Need to check very frequently bc calculate dosing based on blood glucose levels. Often given in an iv drip remember precautions for giving insulin iv. Iv insulin is usually discontinued at end of labor. Decrease stress via early anesthesia, pain control. Greatest risk immediately after delivery bc blood is dumped into system potentially causing s&s of chf. If cervix < 4-5 cm and < 50% effacement, try to stop labor. If > these numbers, delay until can handle. Labor which occurs between 20 and 36 weeks. Cervical change: dilation >1 cm or effacement of 80% or more. Many persons at increased risk (see pg 407) Terbutaline sulfate (brethine) fda black box warning: typically for asthma, copd, causes smooth muscle relaxation of uterus. 1: also causes serious maternal heart issues (pulmonary edema, hyperglycemia, hypokalemia, High risk labor and delivery tachycardia): give for limited amt time.
