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Re: Cytotec and hypotonic uterusFrom: Braun, R. Daniel (rbraun@iupui.edu)Tue Apr 11 07:08:32 2000
What is the purpose of the MgSO4?? Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 <http://www.allexperts.com/displayExpert.asp?Expert=1236> -----Original Message----- From: Diane Petersen [mailto:peter261@gold.tc.umn.edu] Sent: Monday, April 10, 2000 11:28 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Cytotec and hypotonic uterus << 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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