Beta Blockade during C-section - page 2
Pt in her early 20s had a history of "fast heart rates", not formally diagnosed by a physician. Becomes mildly symptomatic when it occurs at home... sits down until it goes away. During c-section... Read More
Oct 22, '05ok...
the latest and greatest state that neo doesn't cause uterine artery constriction to the degree once thought and therefore is a safe first line treatment to hypotension just as ephedrine.
Oct 22, '05I have used beta blockers (lopressor specifically) in patients with eclampsia and pre-eclampsia. Stops the rapid HR, relieves the symptoms, and does not seem to have fetal/newborn effects. Often, this Mom may be on beta blockers for a period of time PP. Hope this helps! Amy
Oct 23, '05Good clinical scenario, Brenna's Dad. Thanks....
Just one perspective - there are many ways to skin a cat, as everybody knows. I probably would have done the exact same thing as you. By no means am I an expert (!) but it seems to me that we must be good at "tweaking"...trying something (that seems sane, safe and reasonable, of course...) and then watching what happens...then trying some else if need be. Anyway, thanks for a good discussion.....
Oct 23, '05i agree - i too would have had to ask what was the best med to use - haven't run into that scenario - thanks for the heads up.
Oct 31, '05For those of us ust starting our programs, but loving the clinical discussions can someone shed some light on why anticholinesterases inhibitors can't be used in this situation.
Oct 31, '05Quote from athomas91as per acls, you could have used the adenosine on the mother. the half life is quite beneficial in this case! followed by fluids, repostioning and o2.i agree - i too would have had to ask what was the best med to use - haven't run into that scenario - thanks for the heads up.
additionally, beta blockers are ok.
ammioderone is ***NOT*** recommended in pregnant women for tachy arhythmias.