7 Drugs in Pregnancy

Question 1

1 source for nonmedical used pain killers?

Answer 1

one doctor

Question 2

is methadone or heroin more likely to cause NAS?

Answer 2

methadone

Question 3

most used drug in pregnancy?

Answer 3

THC

Question 4

partial opioid agonist?

Answer 4

buprenorphine

Question 5

most serious complicaiton of opioid use?

presentation?

Answer 5

overdose

- coma, pinpoint pupils, bradycardia, hyopthermia

Question 6

narcotic w highest addiction potential? why?

Answer 6

heroin. easily crosses BBB

Question 7

withdrawal symptoms seen after 3-4 hours after last opioid?
8-14 hours?
1-3 days?

Answer 7

1-3 hrs - drug craving, anxiety, fear of withdrawal
8-14 hrs - anxiety, restlessness, insomnia, yawning, rhinorrhea, lacrimatin, diaphoresis, stomach cramps, mydriases
1-3 days - muscle, GI, heart, chills, fever, piloerection

Question 8

3 advantages of buprenorphine over methadone?

advantage of methadone?

Answer 8

lower rates of illicit consumption
fewer withdrawal symptoms
lower potential for respiratory depression

methadone better for polypharmacy

Question 9

drug that precipitates opioid withdrawal?

Answer 9

naloxone

Question 10

DOC for opiate addicted pregnant women?

Answer 10

methadone

Question 11

difference bw opiates and opioids?

Answer 11

opiates are natural

opioids are synthetic

Question 12

3 symptoms seen 3-4 hrs after last dose of opiates?

Answer 12

craving
anxiety
fear of withdrawal

Question 13

are opiods tetratogenic?

Answer 13

no

Question 14

drug most common to cause fetal problems other than NAS?

Answer 14

Alcohol

Question 15

dose of methadone when doc should consider detoxification?

Answer 15

<40mg daily at less than 20 week gestation