analgezia si anestezia in obstetrica. analgezia in travaliu - anestezie ...
analgezia si anestezia in obstetrica. analgezia in travaliu - anestezie ...
analgezia si anestezia in obstetrica. analgezia in travaliu - anestezie ...
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Obstetrică<br />
252<br />
o Ranitid<strong>in</strong>a 50mg i.v.<br />
o Metoclopramid 10mg i.v.<br />
- Monitorizare materna: TA, SpO 2 , ECG<br />
- Monitorizare fetala: CTG/Doppler<br />
- Acces i.v. 16 G<br />
- Adm<strong>in</strong>istrarea a 10-15 ml/kg corp solutii cristaloide<br />
- Efectuarea <strong>anestezie</strong>i dupa tehnica standard cu <strong>in</strong>sertia cateterului<br />
la nivel L2/3 sau L3/4<br />
- Substante adm<strong>in</strong>istrate:<br />
o 15-20ml Lidoca<strong>in</strong>a 2% sau<br />
o 20-25ml Bupivaca<strong>in</strong>a 0,5% sau<br />
o 20-30ml Levobupivaca<strong>in</strong>a 0,5% sau<br />
o 15-20ml mixaj 50/50 Bupivaca<strong>in</strong>a 0,5%+Lidoca<strong>in</strong>a 2%<br />
o 15-25ml Ropivaca<strong>in</strong>a 0,5% sau<br />
o 15-25ml Ropivaca<strong>in</strong>a 0,75%<br />
+<br />
o Fentanyl 50-100 mcg sau<br />
o Sufentanyl 20-50 mcg<br />
- Pozitionare <strong>in</strong> semidecubit lateral stang<br />
- Adm<strong>in</strong>istrare O 2 pe masca faciala la SpO 2
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