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General
anesthesia (induced unconsciousness) – for C sec or surgical intervention.
Usually combination of IV injection & inhalation of anesthetic agents.
Primary danger: reaches fetus in 2 mins
→ fetal resp depression.
Causes uterine relaxation. Problem with food/liquids ingested: Gastric juices are highly acidic →
chemical pneumonia if aspirated.
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Nursing mgmt:
prophylactic antacid therapy common.
Nonparticulate antacid such as Bicitra.
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Wedge under R
hip to displace uterus and prevent vena caval compression.
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May need to
assist: maintain cricoid pressure to occlude esophagus until endotracheal
tube is placed by anesthesiologist.
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