CICM SAQ 2010.2 Q16
Questions
With respect to pregnancy.
a) Indicate how the following variables change in the third trimester (either increase or decrease or no change).
b) List 4 conditions specific to pregnancy which may result in right or left heart failure or both.
c) Outline the major differences in approach to cardiopulmonary resuscitation in pregnancy as compared to the non-pregnant adult.
Answers
Answer and interpretation
a. Indicate how the following variables change in the third trimester (either increase or decrease or no change).
b. List 4 conditions specific to pregnancy which may result in right or left heart failure or both.
- Peripartum cardiomyopathy
- Amniotic fluid embolism
- Pre-eclampsia
- Tocolytic pulmonary oedema
- Pulmonary thromboembolism
c. Outline the major differences in approach to cardiopulmonary resuscitation in pregnancy as compared to the non-pregnant adult.
- CPR in left lateral position (27 degree tilt)
- Consideration for emergency caesarian section
- Hands slightly higher on sternum for chest compressions
- Additional personnel / equipment for emergency c-section and neonatal resuscitation
Examination Library
CICM
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
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