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Re: Cytotec and hypotonic uterusFrom: Diane Petersen (peter261@gold.tc.umn.edu)Mon Apr 10 23:26:37 2000
> << I have carried a card in my wallet with a protocol > for AFE management since I was an intern. >> > What is on the card? > Thanks. > 1. IV access 14-16 gauge MSO4 10-15 mg IM immediately 2.Intubate PEEP 100% O2 3. Swan-Ganz ASAP 4. FFP, PRBCs, cryoprecipitate to reverse DIC 5.Vasopressors 6.Aminophylline 250-500mg in 50cc D5W IV over 20 minutes. 7. Digoxin 0.5mg IV, then 0.25mg IV q 2 hours x 6 doses 8. Hydrocortisone 1 gm iv, then 250 mg q 4 hours. 9. Compress uterus to control atony...hemabate, cytotec(just added that one) We did not have to use all of the steps since my patient did not have cardiopulmonary collapse. We did add : DDAVP 0.3 mcg/kg calcium gluconate 3 amps (I had an intensivist consult during the case)
-- Diane Petersen MD
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