© Mark E. Damon - All Rights Reserved This be a Presentation © 2011 - All rights Reserved.

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Transcript of © Mark E. Damon - All Rights Reserved This be a Presentation © 2011 - All rights Reserved.

© Mark E. Damon - All Rights Reserved

© Mark E. Damon - All Rights Reserved

This be a

Presentation

© 2011 - All rights Reserved

© Mark E. Damon - All Rights Reserved

Directions:

• Scroll through the presentation and enter the answers (which are really the questions) and the questions (which are really the answers).

• Enter in the categories on the main game boards.

• As you play the game, click on the TEXT DOLLAR AMOUNT that the contestant calls, not the surrounding box.

• When they have given a question, click again anywhere on the screen to see the correct question. Keep track of which questions have already been picked by printing out the game board screen and checking off as you go.

• Click on the “Game” box to return to the main scoreboard.

• Enter the score into the black box on each players podium.

• Continue until all clues are given.

• When finished, DO NOT save the game. This will overwrite the program with the scores and data you enter. You MAY save it as a different name, but keep this file untouched!

© Mark E. Damon - All Rights Reserved

D aphn e

Round 1 Round 2Final

Jeopardy

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Hodge-Podge

Blood

Products

Causes of PPH

Drugs By the Numbers

Call Larry!!!

$100 $100 $100 $100 $100 $100

$200 $200 $200 $200 $200 $200

$300 $300 $300 $300 $300 $300

$400 $400 $400 $400 $400 $400

$500 $500 $500 $500 $500 $500

Round 2

Final Jeopardy

Scores

© Mark E. Damon - All Rights Reserved$100$100

The leaves of this flower, New Mexico's state flower, can be used to make rope, baskets and sandals.

The leaves of this flower, New Mexico's state flower, can be used to make rope, baskets and sandals.

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What is the Yucca? What is the Yucca?

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When the pituitary gland is enlarged in pregnancy it is prone to infarction from hypovolemic shock called postpartum

hypopituitarism or this syndrome.

When the pituitary gland is enlarged in pregnancy it is prone to infarction from hypovolemic shock called postpartum

hypopituitarism or this syndrome.

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What is Sheehan’s Syndrome?

What is Sheehan’s Syndrome?

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The world's first Atomic Bomb was detonated on July 16, 1945 near this city at the White Sands Testing Range.

The world's first Atomic Bomb was detonated on July 16, 1945 near this city at the White Sands Testing Range.

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What is Alamogordo? What is Alamogordo?

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For secondary postpartum hemorrhage first line treatment is uterotonic drugs and /or antibiotics, this is the next intervention to

consider.

For secondary postpartum hemorrhage first line treatment is uterotonic drugs and /or antibiotics, this is the next intervention to

consider.

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What is suction and curettage?

What is suction and curettage?

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This is the oldest government building in the United States was built in 1610 in Santa Fe.

This is the oldest government building in the United States was built in 1610 in Santa Fe.

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What is the Palace of the Governors?

What is the Palace of the Governors?

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1 unit of PRBC’s increases the hematocrit by this amount. 1 unit of PRBC’s increases the hematocrit by this amount.

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What is 3 points?What is 3 points?

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A massive blood transfusion protocol will typically replace these 4 blood products.

A massive blood transfusion protocol will typically replace these 4 blood products.

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What are PRBC’s, FFP, platelets and

cryoprecipitate?

What are PRBC’s, FFP, platelets and

cryoprecipitate?

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The four components of a coagulation study.The four components of a coagulation study.

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What is fibrinogen concentration, platelet

count, prothrombin time and activated partial

thromboplastin time?

What is fibrinogen concentration, platelet

count, prothrombin time and activated partial

thromboplastin time? Scores

© Mark E. Damon - All Rights Reserved

© Mark E. Damon - All Rights Reserved$400$400

A level of < 200 mg/dl of this clotting factor is predictive of severe postpartum hemorrhage and can guide aggressiveness

of management.

A level of < 200 mg/dl of this clotting factor is predictive of severe postpartum hemorrhage and can guide aggressiveness

of management.

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What is fibrinogen? What is fibrinogen?

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This is the typical ratio of crystalloid resuscitation to estimated blood loss.

This is the typical ratio of crystalloid resuscitation to estimated blood loss.

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What is 3:1. or 3 liters of crystalloid to 1 liter of

EBL?

What is 3:1. or 3 liters of crystalloid to 1 liter of

EBL?

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It accounts for 70-80% of the cases and is the most common cause of postpartum hemorrhage.

It accounts for 70-80% of the cases and is the most common cause of postpartum hemorrhage.

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What is Atony?What is Atony?

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The first intervention when uterine atony is suspected.

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What is fundal massage?

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These are the four most common causes of postpartum hemorrhage in

descending order.

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What is Tone (70%), Trauma (20%), Tissue (10%) and Thrombin

(<1%)?

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The second most common cause of postpartum hemorrhage.

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What is Trauma/ Lacerations?

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The term used to describe PPH > 24 hours Postpartum.

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What is secondary PPH?

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This uterotonic drug has a dose of 0.2 IM every 2 to 4 hours and is contraindicated in HTN or preeclampsia.

This uterotonic drug has a dose of 0.2 IM every 2 to 4 hours and is contraindicated in HTN or preeclampsia.

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What is Methergine? What is Methergine?

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Name the dosage and contraindication to Hemabate. Name the dosage and contraindication to Hemabate.

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What is asthma and 0.25 mg IM every 15 to 90

minutes?

What is asthma and 0.25 mg IM every 15 to 90

minutes?

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This uterotonic medication has no contraindications and can be given orally or rectally.

This uterotonic medication has no contraindications and can be given orally or rectally.

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What is Misoprostol? What is Misoprostol?

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Maximum amount of pitocin in 1 bag. Maximum amount of pitocin in 1 bag.

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What is 80 IU? What is 80 IU?

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This PGE2 medication could be used for bleeding or labor induction if UNM carried it.

This PGE2 medication could be used for bleeding or labor induction if UNM carried it.

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What is Dinoprostone or Cervidil?

What is Dinoprostone or Cervidil?

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IV access during PPH should be established with 2 large bore IV’s. This is the maximum gauge.

IV access during PPH should be established with 2 large bore IV’s. This is the maximum gauge.

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What is 18 ? What is 18 ?

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When the hemoglobin drops to this level and patient is symptomatic we seriously consider blood transfusion. When the hemoglobin drops to this level and patient is symptomatic we seriously consider blood transfusion.

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What is 7-8 g/dl ? What is 7-8 g/dl ?

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When looking for hypovolemia, urine output should be maintained at this rate per hour.

When looking for hypovolemia, urine output should be maintained at this rate per hour.

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What is 30 ml/hour? What is 30 ml/hour?

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The most commonly used volume used to define PPH in a vaginal delivery is this.

The most commonly used volume used to define PPH in a vaginal delivery is this.

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What is 500 ml?What is 500 ml?

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The most commonly used volume to define PPH in Cesarean Section is this.

The most commonly used volume to define PPH in Cesarean Section is this.

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What is 1000 ml?What is 1000 ml?

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This is the first line procedure used to control uterine bleeding during C/S.

This is the first line procedure used to control uterine bleeding during C/S.

© Mark E. Damon - All Rights Reserved$100$100

What is bilateral uterine artery ligation or

O’Leary stitch?

What is bilateral uterine artery ligation or

O’Leary stitch?

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This is the most common technique for uterine compression during C/S.

This is the most common technique for uterine compression during C/S.

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What is the B-Lynch Suture?

What is the B-Lynch Suture?

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This balloon that is specifically designed for Uterine tamponade. This balloon that is specifically designed for Uterine tamponade.

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What is the Bakri Balloon? What is the Bakri Balloon?

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In the case of massive postpartum hemorrhage name a technique that can be done by IR if the patient is stable.

In the case of massive postpartum hemorrhage name a technique that can be done by IR if the patient is stable.

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What is Arterial embolization?

What is Arterial embolization?

Scores

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Active management of the third stage of labor may reduce the incidence of of this rare complication (occurs in 0.05% of all

deliveries).

Active management of the third stage of labor may reduce the incidence of of this rare complication (occurs in 0.05% of all

deliveries).

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What is Uterine Inversion? What is Uterine Inversion?

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Subject1

Subject2

Subject3

Subject4

Subject5

Subject6

$200 $200 $200 $200 $200 $200

$400 $400 $400 $400 $400 $400

$600 $600 $600 $600 $600 $600

$800 $800 $800 $800 $800 $800

$1000 $1000 $1000 $1000 $1000 $1000

Round 1

Final Jeopardy

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$200$200

Enter Answer Here for

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Uterine RuptureUterine Rupture

Final Jeopardy Question

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The primary sign of uterine rupture before delivery.The primary sign of uterine rupture before delivery.

© Mark E. Damon - All Rights Reserved

What is fetal bradycardia?What is fetal bradycardia?

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