Exam 1: Pharmacology Flashcards

1
Q

Indication for use: (preterm labor)
Magnesium sulfate (3)

A

-Lowers calcium levels in uterine muscle cells (calcium is needed for muscles to contract
-Use to inhibit contractions during preterm labor
-Helps protect newborn brain

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2
Q

Magnesium Sulfate Indication for use (pre-eclampsia) (2)

A

-Treatment, prevention, and reduction of risk for seizures in women with pre-eclampsia
-Lowers seizure threshold and lowers blood pressure

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3
Q

Two reasons for giving magnesium sulfate

A

-pre-eclampsia
-preterm labor

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4
Q

Oxytocin brand name

A

Pitocin

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5
Q

Indication for use:
Pitocin (3)

A

-Oxytocic hormone stimulates/improves uterine contractions during labor
-Can reduce bleeding after childbirth (first line of defense for postpartum hemorrhage)
-As a natural hormone, it is the “let down” reflex for breastfeeding

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6
Q

Terbutaline brand name:

A

Brethine

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7
Q

Indication for use:
Brethren (2)

A

-Used to stop or delay preterm labor
-Slow/Prevent contractions

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8
Q

Dinoprostone brand name

A

Cervidil

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9
Q

Indication for use:
Cervidil (2)

A

-used to prepare the cervix for the induction of labor in pregnant women who are at or near term
-works by softening the cervix

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10
Q

Brand name:
Carboprost

A

Hemabate

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11
Q

Indication for use:
Hemabate

A

used to treat severe postpartum hemorrhage

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12
Q

Red Flag for use:
Carboprost

A

avoid use in asthmatics

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13
Q

Brand name: Methylergonovine

A

Methergine

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14
Q

Indication for use:
Methergine (2)

A

-Administered in the postpartum period to help deliver the placenta
-Helps control postpartum bleeding

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15
Q

Red Flag use for Methylergonovine

A

Avoid use in those with Hypertension

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16
Q

Brand Name:
Misoprostol

A

Cytotec

17
Q

Indication for use:
Cytotec (2)

A

-Used to soften the cervix or induce contractions to begin labor
-Effective for postpartum hemorrhage

18
Q

Indication for use:
Fentanyl IV push (3)

A

-Used to treat pain during labor and delivery
-Short acting with half-life of 30min so can give closer to delivery
-Can be used with epidural

19
Q

Indication for use:
Penicillin in labor (2)

A

-Antibiotic given to women in labor that test positive for Group B strep to prevent passing infection to newborn (neonatal sepsis)
-Most effective after 2 doses IV

20
Q

Brand name:
Ondansetron

A

Zofran

21
Q

Indication for use:
Zofran

A

-Used for nausea and vomiting during pregnancy
-Hyperemesis Gravidarum

22
Q

Indication for use:
Betamethasone (2)

A

-Given to women at risk for preterm delivery
-Speeds up lung development in the preterm baby to prevent respiratory distress if delivered early

23
Q

Indication for use:
Methotrexate (2)

A

-Can be given for treatment of ectopic pregnancy
-Stops development of the fertilized egg “basically dissolves”

24
Q

Indication for use:
Indomethacin

A

-Inhibits the production of cytokines that may trigger labor, decreases uterine contractions, and can prevent delivery by up to two days

25
Q

Brand name:
Rho (D) immune globulin

A

Rhogam

26
Q

Indication for use:
Rhogam (3)

A

-Immune globulin made from human blood given to prevent Rh incompatibility in moms whoa re Rh negative
-Prevents development of antibodies against Rh positive blood
-Given to Rh negative movs at 28 weeks and after delivery

27
Q

Meds for Newborn (4)

A

-Vitamin K
-Erythromycin ointment
-Hepatitis B Vaccine
-Surfactant

28
Q

Indication for use:
Vitamin K

A

Given to newborns to prevent bleeding disorders (hemorrhagic disease in newborn)

29
Q

Indication for use:
Erythromycin ointment

A

-Antibiotic ointment
-Given to the newborn baby for prevention of eye infections that can be caused by STIs

30
Q

Indication for use:
Hep B Vaccination (2)

A

-Given to protect against contracting the Hep B virus
-Doses given: Birth, 2 months, & 6 months

31
Q

Indication for use:
Surfactant

A

Given to preterm babies to keep their lungs open and prevent respiratory distress
(baby too premature to produce on their own)

32
Q

Off label use drugs: (3)

A

-Terbutaline (Brethine)
-Misoprostol (Cytotec)
-Indomethacin