Book Ch. 32 Flashcards
uterine stimulants
4
- oxytocin
- dinoprostone
- methlergonovine
- misoprostol
dinoprostone
2
promote cervical ripening and stimulate contractions
methylergonovine
2
- contracts uterus
2. emergency rx for PP hemorrhage
oxytocin complications
4
- uterine rupture
- placental abruption
- water intoxication
- uterine tachysystole
complication - laceration, GI reaction
dinoprostone
misoprostol complications
2
- uterine tachysystole
2. nonreassuring FHR
complication - non-reassuring FHR
misoprostol
methylergonovine complication
1
HTN crisis
hypertensive crisis is to
methylergonovine
oxytocin contraindications
3
- sepsis
- unripe cervix
- active genital herpes
tocolytic meds
2
- terbutaline
2. hydroxyprogesterone caproate
tocolytic med pharm action
uterine smooth muscle relaxation
used to delay preterm labor
3
terbutaline
nifidipine
indomethacin
terbutaline complications
6
- tachycardia
- palpitations
- chest pain
- hypotension
- hypokalemia
- hyperglycemia
glucocorticoid meds purpose
produce and release lung surfactant
glucocorticoid for lungs
2
- betamethasone
2. dexamethason
when to give steroid for surfactant
2
- 24-34 weeks
2. at least 24 hr before delivery
prevent PP hemorrhage
methylergonovine
methylergonovine a/e
1
hypertensive crisis
hypertensive crisis is to
methylergonovine
methylergonovine contraindication
3
- HTN
- preeclampsia
- cardiac disease
manifestations of hypertensive crisis
4
- headache
- nausea
- vomiting
- increased BP
oxytocin - sodium
can cause hyponatremia from water intoxication