6 Flashcards
methylergonivine
ergot alkaloid - uterotonic agent to help control post part hemorrhage
contraindicated in preeclampsia/HTN because vasoconstrictive
prostaglandin F2 alpha
uterotonic agent to control post part hemorrhage
contraindicated in asthma because smooth muscle constrictor
drugs to treat endometritis
gentamicin and ampicillin or clindamycin
whats most common cause of fever postpartum day 1, especially after general anesthesia
lungs- atelctasis, aspiration pneumonia
can SSRIS be used in lactation?
yes
SSRIs during third trimester effect on fetus
EPS signs and withdrawal symtoms- agitation, tremor, sleepiness, difficulty breathing and feeding
tests when you’re 41 weeks pregnant and still not in labor
twice weekly testing of:
- amniotic fluid volume assessment (modified BPP)
- non stress test
post term pregnancies associated with
placental sulfatase def. fetal adrenal hypoplasia anencephaly macrosomia oligohydramnios meconium aspiration uteroplacental insufficiency
fetal dysmaturity signs
long nails
yellow green hue- meconium stained
fragile
most common cervical ripening med to induce
prostaglandins applied locally
risk factors for postterm pregnancies
history of postterm nulliparous advanced age caucasian male fetus obesity
what tests should be done if theres evidence of restricted growth?
non stress test twice a week
biophysical profile
biophysical profile
ultrasound eval of fetal movement, tone, amniotic fluid, and breathing
which diseases will restricted growth fetus be prone to develop?
DM 2 CV disease HTN stroke COPD obesity
what should you do with IGUR at 36 weeks with oligohydramnios and abel umbilical artery doppler studies?
deliver!
