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© Mark E. Damon - All Rights Reserved Round 1Round 2 Final Jeopardy

© Mark E. Damon - All Rights Reserved Hodge- Podge Blood Products Causes of PPH Drugs By the Numbers Call Larry!!! $100 $200 $300 $400 $500 Round 2 Final Jeopardy Scores

© Mark E. Damon - All Rights Reserved $100 The leaves of this flower, New Mexico's state flower, can be used to make rope, baskets and sandals.

© Mark E. Damon - All Rights Reserved $100 What is the Yucca? Scores

© Mark E. Damon - All Rights Reserved $200 When the pituitary gland is enlarged in pregnancy it is prone to infarction from hypovolemic shock called postpartum hypopituitarism or this syndrome.

© Mark E. Damon - All Rights Reserved $200 What is Sheehan’s Syndrome? Scores

© Mark E. Damon - All Rights Reserved $300 The world's first Atomic Bomb was detonated on July 16, 1945 near this city at the White Sands Testing Range.

© Mark E. Damon - All Rights Reserved $300 What is Alamogordo? Scores

© Mark E. Damon - All Rights Reserved $400 For secondary postpartum hemorrhage first line treatment is uterotonic drugs and /or antibiotics, this is the next intervention to consider.

© Mark E. Damon - All Rights Reserved $400 What is suction and curettage? Scores

© Mark E. Damon - All Rights Reserved $500 This is the oldest government building in the United States was built in 1610 in Santa Fe.

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© Mark E. Damon - All Rights Reserved $100 1 unit of PRBC’s increases the hematocrit by this amount.

© Mark E. Damon - All Rights Reserved $100 What is 3 points? Scores

© Mark E. Damon - All Rights Reserved $200 A massive blood transfusion protocol will typically replace these 4 blood products.

© Mark E. Damon - All Rights Reserved $200 What are PRBC’s, FFP, platelets and cryoprecipitate? Scores

© Mark E. Damon - All Rights Reserved $300 The four components of a coagulation study.

© Mark E. Damon - All Rights Reserved $300 What is fibrinogen concentration, platelet count, prothrombin time and activated partial thromboplastin time? Scores

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$400 A level of < 200 mg/dl of this clotting factor is predictive of severe postpartum hemorrhage and can guide aggressiveness of management.

© Mark E. Damon - All Rights Reserved $400 What is fibrinogen? Scores

© Mark E. Damon - All Rights Reserved $500 This is the typical ratio of crystalloid resuscitation to estimated blood loss.

© Mark E. Damon - All Rights Reserved $500 What is 3:1. or 3 liters of crystalloid to 1 liter of EBL? Scores

© Mark E. Damon - All Rights Reserved $100 It accounts for 70-80% of the cases and is the most common cause of postpartum hemorrhage.

© Mark E. Damon - All Rights Reserved $100 What is Atony? Scores

© Mark E. Damon - All Rights Reserved $200 The first intervention when uterine atony is suspected.

© Mark E. Damon - All Rights Reserved $200 Scores What is fundal massage?

© Mark E. Damon - All Rights Reserved $300 These are the four most common causes of postpartum hemorrhage in descending order.

© Mark E. Damon - All Rights Reserved $300 Scores What is Tone (70%), Trauma (20%), Tissue (10%) and Thrombin (<1%)?

© Mark E. Damon - All Rights Reserved $400 The second most common cause of postpartum hemorrhage.

© Mark E. Damon - All Rights Reserved $400 Scores What is Trauma/ Lacerations?

© Mark E. Damon - All Rights Reserved $500 The term used to describe PPH > 24 hours Postpartum.

© Mark E. Damon - All Rights Reserved $500 Scores What is secondary PPH?

© Mark E. Damon - All Rights Reserved $100 This uterotonic drug has a dose of 0.2 IM every 2 to 4 hours and is contraindicated in HTN or preeclampsia.

© Mark E. Damon - All Rights Reserved $100 What is Methergine? Scores

© Mark E. Damon - All Rights Reserved $200 Name the dosage and contraindication to Hemabate.

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© Mark E. Damon - All Rights Reserved $300 This uterotonic medication has no contraindications and can be given orally or rectally.

© Mark E. Damon - All Rights Reserved $300 What is Misoprostol? Scores

© Mark E. Damon - All Rights Reserved $400 Maximum amount of pitocin in 1 bag.

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© Mark E. Damon - All Rights Reserved $500 This PGE2 medication could be used for bleeding or labor induction if UNM carried it.

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© Mark E. Damon - All Rights Reserved $100 IV access during PPH should be established with 2 large bore IV’s. This is the maximum gauge.

© Mark E. Damon - All Rights Reserved $100 What is 18 ? Scores

© Mark E. Damon - All Rights Reserved $200 When the hemoglobin drops to this level and patient is symptomatic we seriously consider blood transfusion.

© Mark E. Damon - All Rights Reserved $200 What is 7-8 g/dl ? Scores

© Mark E. Damon - All Rights Reserved $300 When looking for hypovolemia, urine output should be maintained at this rate per hour.

© Mark E. Damon - All Rights Reserved $300 What is 30 ml/hour? Scores

© Mark E. Damon - All Rights Reserved $400 The most commonly used volume used to define PPH in a vaginal delivery is this.

© Mark E. Damon - All Rights Reserved $400 What is 500 ml? Scores

© Mark E. Damon - All Rights Reserved $500 The most commonly used volume to define PPH in Cesarean Section is this.

© Mark E. Damon - All Rights Reserved $500 What is 1000 ml? Scores

© Mark E. Damon - All Rights Reserved $100 This is the first line procedure used to control uterine bleeding during C/S.

© Mark E. Damon - All Rights Reserved $100 What is bilateral uterine artery ligation or O’Leary stitch? What is bilateral uterine artery ligation or O’Leary stitch? Scores

© Mark E. Damon - All Rights Reserved $200 This is the most common technique for uterine compression during C/S.

© Mark E. Damon - All Rights Reserved $200 What is the B-Lynch Suture? Scores

© Mark E. Damon - All Rights Reserved $300 This balloon that is specifically designed for Uterine tamponade.

© Mark E. Damon - All Rights Reserved $300 What is the Bakri Balloon? Scores

© Mark E. Damon - All Rights Reserved $400 In the case of massive postpartum hemorrhage name a technique that can be done by IR if the patient is stable.

© Mark E. Damon - All Rights Reserved $400 What is Arterial embolization? Scores

© Mark E. Damon - All Rights Reserved $500 Active management of the third stage of labor may reduce the incidence of of this rare complication (occurs in 0.05% of all deliveries).

© Mark E. Damon - All Rights Reserved $500 What is Uterine Inversion? Scores

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© Mark E. Damon - All Rights Reserved Scores Uterine Rupture Final Jeopardy Question

© Mark E. Damon - All Rights Reserved The primary sign of uterine rupture before delivery.

© Mark E. Damon - All Rights Reserved What is fetal bradycardia? Scores