Book Ch. 32 Flashcards

1
Q

uterine stimulants

4

A
  1. oxytocin
  2. dinoprostone
  3. methlergonovine
  4. misoprostol
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2
Q

dinoprostone

2

A

promote cervical ripening and stimulate contractions

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3
Q

methylergonovine

2

A
  1. contracts uterus

2. emergency rx for PP hemorrhage

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4
Q

oxytocin complications

4

A
  1. uterine rupture
  2. placental abruption
  3. water intoxication
  4. uterine tachysystole
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5
Q

complication - laceration, GI reaction

A

dinoprostone

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6
Q

misoprostol complications

2

A
  1. uterine tachysystole

2. nonreassuring FHR

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7
Q

complication - non-reassuring FHR

A

misoprostol

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8
Q

methylergonovine complication

1

A

HTN crisis

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9
Q

hypertensive crisis is to

A

methylergonovine

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10
Q

oxytocin contraindications

3

A
  1. sepsis
  2. unripe cervix
  3. active genital herpes
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11
Q

tocolytic meds

2

A
  1. terbutaline

2. hydroxyprogesterone caproate

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12
Q

tocolytic med pharm action

A

uterine smooth muscle relaxation

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13
Q

used to delay preterm labor

3

A

terbutaline
nifidipine
indomethacin

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14
Q

terbutaline complications

6

A
  1. tachycardia
  2. palpitations
  3. chest pain
  4. hypotension
  5. hypokalemia
  6. hyperglycemia
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15
Q

glucocorticoid meds purpose

A

produce and release lung surfactant

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16
Q

glucocorticoid for lungs

2

A
  1. betamethasone

2. dexamethason

17
Q

when to give steroid for surfactant

2

A
  1. 24-34 weeks

2. at least 24 hr before delivery

18
Q

prevent PP hemorrhage

A

methylergonovine

19
Q

methylergonovine a/e

1

A

hypertensive crisis

20
Q

hypertensive crisis is to

A

methylergonovine

21
Q

methylergonovine contraindication

3

A
  1. HTN
  2. preeclampsia
  3. cardiac disease
22
Q

manifestations of hypertensive crisis

4

A
  1. headache
  2. nausea
  3. vomiting
  4. increased BP
23
Q

oxytocin - sodium

A

can cause hyponatremia from water intoxication