Ch.30 - Cardiovascular Disorders

• Pregnancy Complications:

  • P_ B_
  • F_ G_ R_
  • F_ D_?

  preterm birth, fetal growth restriction, fetal death
• Decompensation of Maternal Cardiac Status:

  • H_ F_
  • M_ A_?

  heart failure, maternal arrhythmias
• Cardiac Decompensation (Subjective):

  • P_
  • G_ E_
  • I_ F_
  • B_ D_
  • S_ F_
  • F_ C_?

  palptations, generalized edema, increasing fatigue, breathing difficulties, smothering feeling, frequent cough
• Cardiac Decompensation (Objective):

  • I_, W_, R_ P_
  • C_
  • O_
  • I_ R_
  • L_ and N_ C_?

  irregular, weak, rapid pulses, crackles, orthopnea, increased respirations, lip, nail cyanosis
• Warning signs:

  • C_ D_
  • C_ P_
  • D_
  • P_?

  cardiac decomp, chest pain, dvt, pe
• Antepartum:

  • L_ A_
  • C_
  • No V_ M_
  • Avoid S_ and P_
  • H_ I_?

  limit activity, colace, valvsar maneuver, straining, perfusion, high iron
• Intrapartum:

  • HR of >_ or RR of >_ concerning
  • S_ L_ and H_ elevated
  • Avoid S_ and C_ G_ pushing
  • E_
  • V_ B_?

  100, 25, side lying, hob, stirrups, closed glottis, epidural, vaginal birth
• Intrapartum:

  • No M_ or T_ due to increase in _
  • Wait for T_ L_ which is F_ of B_ C_?

  methergine, terbutaline, bp, tubal ligation, form, birth control
• Postpartum:

  • M_ E_
  • P_ M_
  • Avoid E_
  • Don't get P_ R_ A_
  • Cardiac decompensation may occur within _ wk period?

  monitor edema, pain management, estrogen, pregnant right away, 2