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OB/Peds > MCN Meds Exam 3 > Flashcards

MCN Meds Exam 3 Flashcards

1
Q

What is surfactant?

A

lipoprotein that coats lung tissue to prevents alveolar collapse

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2
Q

What does surfactant do for the newborn?

A

decreases surface tension & keeps alveoli open for gas exchange

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3
Q

When is surfactant made in weeks, and when is it complete?

A

made @ 24 weeks & complete @ 34 weeks

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4
Q

Why is vitamin K given to the newborn?

A

o decrease risk for severe bleeding, and to synthesize clotting factors

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5
Q

When is vitamin K given to the newborn?

A

within 1st hour after birth

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6
Q

Why is erythromycin given to the newborn?

A

to prevent ophthalmia neonatorum conjunctivitis (eye infection)

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7
Q

Why is the hepatitis b vaccine given to the newborn?

A

to protect child from hepatitis b

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8
Q

When is the hepatitis b vaccine given?

A

within 12 hours after birth

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9
Q

If mother is HBsAg negative, when can you give the hepatitis vaccine to a baby?

A

may defer to 1-2 month

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10
Q

If mother is HBsAg positive, when can you give the hepatitis vaccine to a baby?

A

Hep B dose 1 and HBIG (Hepatitis B immunoglobulin) within 12 hours of birth

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11
Q

What is an important consideration regarding breastfeeding as it relates to hepatitis b vaccination?

A

Both (Hepatitis B vaccine & HBIG) given before breastfeeding initiated

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12
Q

What is the name of the medication that can prevent RDS in a newborn that is given to mom at <34 weeks?

A

betamethasone

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13
Q

What kind of medication is betamethasone?

A

corticosteroid

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14
Q

What does betamethasone do?

A

it can help speed up lung development in preterm babies, causes the release of surfactant, a substance that lubricates the lungs so that they do not stick together when the infant breathes

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15
Q

Which medication class of meds can we give to babies with NAS?

A

Opiods

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16
Q

What 3 opiod meds can we use for NAS scores ≥8?

A
  • morphine
  • buprenorphine
  • methadone
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17
Q

What anticonvulsant medication is used for NAS babies?

A

Phenobarbital

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18
Q

How do acetic acid drops work?

A

(change pH)-between infections, It works by stopping the growth of bacteria and fungus

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19
Q

What medication is used for the prevention of RSV in certain populations (that are immunocompromised)?

A

palivizumab

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20
Q

How does palivizumab work?

A

This medicine works by giving your body antibodies to protect it against RSV infection

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21
Q

What route, and how often is palivizumab given?

A

IM injection, 1x/month for 5 months

22
Q

What 2 medication classes can be used to treat allergic rhinitis?

A
  • antihistamines

* leukotriene receptor antagonists

23
Q

What is an example of an antihistamine?

A

Benadryl (Diphenhydramine)

24
Q

What are 2 examples of leukotriene receptor antagonists?

A
  • monte (montelukast)

* zarfir (zarfirlukast)

25
Q

How do leukotriene receptor antagonists work?

A

decreases inflammation by interfering with leukotrienes

26
Q

What is dornase alpha?

A

inhaled mucolytic

27
Q

What condition is dornase alpha used for?

A

Cystic fibrosis

28
Q

How does pancrelipase work?

A

breaks down fats, proteins and carbohydrates

29
Q

What condition is pancrelipased use for?

A

Cystic Fibrosis

30
Q

Which 3 inhaled antibiotics work directly on the lungs?

A
  • tobramycin
  • ticarcillin
  • gentamicin
31
Q

What medication is used to treat tinea capitis?

A

oral griseofulvin

32
Q

What medication is used to treat tinea versicolor?

A
  • selenium sulfide

* shampoo or topical antifungal

33
Q

How does benzoyl peroxide work?

A

Topical medication that inhibits the growth of P. acnes

34
Q

What is a nursing consideration with benzoyl peroxide?

A

avoid contact with eyes and mucous membranes; can bleach fabrics

35
Q

What kind of medication should you use in combination with benzoyl peroxide?

A

Antibiotics

36
Q

How does tretinoin work?

A

unblocks clogged follicles

37
Q

What is a nursing consideration for tretinoin?

A

usually used in combination with a topical antibiotic; Onset 2 weeks, peak effect 6 weeks

38
Q

What do combination oral contraceptive meds do?

A

reduces androgen production

39
Q

How does isotretinoin work?

A

Reduces sebaceous gland size and sebum production

40
Q

What are some nursing considerations for isotretinoin?

A 
1. Must use 2 forms of birth 
control
2. Have monthly pregnancy test
3. Cannot donate blood while 
using this drug or for 1month 
after discontinuing use

•Treatment generally lasts 20
weeks

41
Q

What are the adverse effects of isotretinoin?

A
  • Suicidal Ideation
  • Aggression
  • Mood changes
  • Increased cholesteroland/or triglycerides
42
Q

Which congenital heart defect is IV ibuprofen and Indomethacin indicated?

A

PDA

43
Q

What class of medications are ibuprofen and indomethacin?

A

Prostaglandin inhibitors

44
Q

What other intervention can be used to close a PDA?

A

coil embolization

45
Q

Which congenital heart condition is morphine sulfate and IV propranolol indicated?

A

tetralogy of fallot

46
Q

How does morphine sulfate and IV propranolol*(only in severe cases) help treat tertralogy of fallot

A

relaxes pulmonary artery, decreases respiratory demands

47
Q

Which congenital heart defect is alprostadil indicated?

A

Transposition of the great vessels

48
Q

How does alprostadil help treat transposition of the great vessels?

A

direct vasodilator of ductal arteriosus (keeps open)

49
Q

Which 2 medications are used to treat rheumatic fever?

A
  • penicillin

* corticosteroids

50
Q

Which antihypertensive medications work well for kids with HTN?

A

Ace/ARBS

51
Q

Which 2 medications are used to treat Kawasaki disease?

A
  • IVIG

* Aspirin

OB/Peds (7 decks)

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