Abortion

Question 1

Drugs used for medical abortion

Answer 1

Mifepristone and misopristol

Question 2

Mifepristone dosing for abortion

Answer 2

200mg on Day 1

Question 3

Misopristol dosing for abortion

Answer 3

800mcg buccally or vaginally 24-48 hours after mifepristone dose

Question 4

Up to what gestational age can you use mifepristone and misoprostol

Answer 4

70 days

Question 5

What can you use for ectopic pregnancy and up to what gestational age?

Answer 5

Methotrexate, 49 days

Question 6

Expected side effects for mifepristone and misopristol

Answer 6

Bleeding and cramping will begin within a couple hours of taking misopristol, may also expect nausea, diarrhea, fever, and chills

Question 7

Non-pharm care for abortion

Answer 7

OTC products for diarrhea, no NSAIDs for pain

Question 8

When do you call your provider?

Answer 8

Bleeding that soaks 2 full-size pads per hour for 2 consecutive hours, fever >101 degrees or prolonged fever (<4 hours) >100 degrees, pain not responsive to pain meds or diffuse/severe abdominal pain, general malaise >24 hours after last misoprostol dose, minimal bleeding and you don’t think you passed the pregnancy, continued pregnancy symptoms after 7 days

Question 9

Mifepristone MoA

Answer 9

Deducial necrosis, rhythmic uterine contraction, cervical ripening to lead to detachment and expulsion

Question 10

When can contraception be initiated after an abortion?

Answer 10

All methods immediately following a successful, uncomplicated abortion

Depo shot and implant may be provided the same day as the mifepristone
CHC may be started on the day of misoprostol administration
IUD as early as 5 days after mifepristone
Tubal ligation as soon as abortion is confirmed

Question 11

Which drug is on the REMS list?

Answer 11

Mifepristone- only certain providers can dispense it