BetaMethasone/DexaMethasone

Question 1

Beta/DexaMethasone are Glucocorticoids that have what effect?

Answer 1

They promote the release of enzymes that produce lunge surfactant

Question 2

What use does Beta/DexaMethasone have in the OB?

Answer 2

It prevents /Reduces the incidence of RDS in premature babies (24-34 weeks).

Question 3

What is the ACOG recommendation for the timeframe of giving Bets/DexaMethasone?

Answer 3

If a woman is 24-34 weeks gestation and is expected to give birth in the next 7 days

Question 4

What is the administration route?

Answer 4

IM injections

Question 5

What is the administration frequency?

Answer 5

Beta is given 12mg IM, 2 doses 24 hours apart

Dexa is given 6mg IM, 4 doses, 12 hours apart

Question 6

Beta and Dexa must be given deep IM. Where are the best 2 spots for injecting them?

Answer 6

Ventral gluteal or Vastus lateralis

Question 7

In gestational/pregestational diabetic women, what must be assessed?

Answer 7

BG levels