QuestionSBA
QuestionChoice
It is recommended that blood pressure be monitored closely for at least 3 hours following a medical termination of pregnancy with oral mifepristone and gemeprost pessary as there is a risk of severe hypotension
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a
Blood pressure
QuestionChoice
This may be performed if there is a clinical suspicion of STI or pelvic inflammatory disease but there is no information in the stem to suggest that
34417
c
High vaginal swabs
QuestionChoice
It is not necessary to measure C-reactive protein following a medical termination of pregnancy
34416
b
C-reactive protein
QuestionChoice
It is not necessary to check liver function tests following a medical termination of pregnancy
34418
d
Liver function tests
QuestionChoice
A urine pregnancy test should be performed at 3 weeks following termination of pregnancy but not immediately after as it is likely to be still positive
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e
Urine pregnancy test
QuestionComment
how are you monitoring BP when you can take the tablets at home for medical termination?
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User
subscriber
Epidermis Benign
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

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2826
Termination of Pregnancy
Topic
76
Obstetrics and Gynaecology
6894
Case Presentation: A 21 year old woman is in the process of terminating a 9 week intrauterine pregnancy. She has received mifepristone 600mg PO two days ago and is about to receive gemeprost 1mg pessary and doxycycline 100mg PO BD for three days as antibiotic prophylaxis.


Question: Select the most appropriate immediate monitoring option required once her pregnancy has been terminated.
a