When epidural analgesia is given for intrapartum analgesia, what are the observations/ precautions to be taken? ( Select all that apply)

A. Continuous electronic fetal monitoring after epidural analgesia
B. Continuous electronic fetal monitoring for 30 minutes during establishment or after boluses of 10 ml or more
C. Check blood pressure every 5 minutes for 15 minutes during establishment or after further boluses
D. Give loading dose of fluid before establishing epidural analgesia

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Z4 Analgesia

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1) Q4 Analgesia

When epidural analgesia is given for intrapartum analgesia, what are the observations/ precautions to be taken? ( Check all that apply)

A. Continuous electronic fetal monitoring for 30 minutes during establishment or after boluses of 10 ml or more

B. Give loading dose of fluid before establishing epidural analgesia

C. Continuous electronic fetal monitoring after epidural analgesia

D. Check blood pressure every 5 minutes for 15 minutes during establishment or after further boluses

According to NICE ( Intrapartum care for healthy
women and babies )

• Check blood pressure every 5 minutes for 15 minutes during
  establishment or after further boluses
• Check sensory block hourly
•  Continuous electronic fetal monitoring for 30 minutes during
  establishment or after boluses of 10 ml or more
• Intravenous access should be established prior to commencing regional analgesia.
• Do not administer routine preloading and maintenance fluid

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