Lactation Flashcards
The safest drug is ___ drug. Rule of thumb is that ___ drugs are compatible w/breastfeeding.
no, most
What 3 things do you need to check before starting a nursing pt on medication? effect on ___, effect on ___, effect on ___.
mother, infant, lactation
Drugs to avoid in lactation include:
chemotherapy agents, meds that decrease milk production, radioactive chemicals, BB’s, dextroamphetamine, lithium
Antibx considered safe during lactation:
PCN, cephalosporin, clindamycin, aminoglycosides
Avoid ___ and ___ in last trimester and first month of life d/t ___ and ___ ___ metabolism.
erythromycin, sulfa’s, jaundice, folic acid
Fluoroquinolones are category ___.
C
Preferred antidepressants during lactation d/t short half-life include:
sertraline, paroxetine, nortriptyline
antidepressants to avoid during lactation d/t long half-lives include:
fluoxetine, citalopram, doxepin
SSRI’s can cause prolonged ___ of lactation.
onset
Very low breast milk concentration anticonvulsants include:
phenytoin (Dilantin) and valproate
Low to moderate milk concentration anticonvulsants include:
topiramate (Topamax), carbamazepine, lamotrigine, phenobarbital
High breast milk concentration anticonvulsants include:
gabapentin, levetiracetam (Keppra)
Antihypertensives considered safe during lactation include: ___. However, avoid ___ during first 6 wks d/t renal toxicity.
ACE inhibitors, HCTZ, Methyldopa, digoxin, warfarin, heparin, ACEI’s
Oral ___ should be avoided until breastfeeding is established. Estrogen containing contraceptives may ___ milk supply.
contraceptives, decrease
Okay to give RhoGAM and ___ vaccine while lactating.
rubella
