Exam 5 - Lec 61 Oxytocin Flashcards

1
Q

which stage of labor refers to onset of labor to full cervical dilation?

A

stage 1

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2
Q

which stage of labor refers to time from full dilation to delivery?

A

stage 2

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3
Q

which stage of labor refers to time from delivery to infant to delivery of the placenta?

A

stage 3

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4
Q

two options for labor dystocia (abnormally slow or protracted labor)

A

-operation (C-section)
-IV oxytocin (Pitocin)

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5
Q

oxytocin role in stages 2 and 3 of labor

A

stimulate contractions before onset of labor to achieve a vaginal delivery

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6
Q

contraindications for labor induction (6)

A

-placenta previa
-fetus in sideway position
-previous classical or high-risk C-section
-prior uterine incision (e.g. myomectomy)
-umbilical cord prolapse
-prior uterine rupture

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7
Q

IV oxytocin max dose

A

40 milliunits/min

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8
Q

half-life of IV oxytocin

A

~3 min when infused

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9
Q

oxytocin for medical termination is typically used during ___ trimester

A

2nd

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10
Q

oxytocin for medical termination: dose

A

50 units/500 mL NS over 3 hrs + 1 hr rest; repeat, adding additional 50 units per cycle

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11
Q

what is the ISMP?

A

institute for safe medication practices

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12
Q

WHO recommends continued breastfeeding through ___ months or longer

A

24

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13
Q

AAP recommends continued breastfeeding through ___ months, or as long as mutually desired

A

12

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14
Q

what are the 4 ranges for RID (relative infant doses)?

A

< 2% = minimal transfer to milk
2-5% = small amount of transfer to milk
5-10% = moderate amount of transfer to milk
> 10% = large amount of transfer to milk; risk of effects in infants exists

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15
Q

Hale’s lactation risk categories: what do each of them mean?

A

L1: safest
L2: safer
L3: moderately safe
L4: possibly hazardous
L5: contraindicated

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16
Q

examples of L1 lactation risk drugs (2)

A

acetaminophen
amoxicillin

17
Q

examples of L2 lactation risk drugs (2)

A

diphenhydramine
fluoxetine

18
Q

examples of L3 lactation risk drugs (2)

A

pseudoephedrine
hydrocodone

19
Q

examples of L4 lactation risk drugs (2)

A

colchicine
dapsone

20
Q

examples of L5 lactation risk drugs (2)

A

amiodarone
chemotherapy agents

21
Q

methadone and buprenorphine infant risks in lactation (3)

A

lethargy
respiratory difficulty
poor weight gain

22
Q

true or false: the academy of Breastfeeding Medicine encourages breastfeeding if enrolled in methadone-maintenance program

A

true

23
Q

maternal risk of buprenorphine in lactation

A

decreased milk production

24
Q

true or false: you can breastfeed while on disulfiram & naltrexone

A

false

(use discouraged by FDA labeling)

25
Q

true or false: opioids such as morphine, codeine, hydrocodone, fentanyl and hydromorphone should not be used when lactating

A

false

(moderately safe; morphine preferred)

26
Q

herbal supplements that increase milk supply (3)

A

fenugreek
blessed thistle
fennel seed

27
Q

5 things to increase milk supply (slide 35)

A

-herbal supplements
-oatmeal
-Brewer’s yeast
-metoclopramide
-pumping

28
Q

what time of day does a breast pump get the greatest milk supply?

A

first thing in the morning