Medications

Question 1

Pre term labor meds

Answer 1

Mag 
Betamethasone
Terbutaline
Procardia
Ibuprofen
Indocin

Question 2

PPROM meds

Answer 2

ampicillin

Erythromycin

Question 3

What are some tocolytic meds?

Answer 3

Nifedipine
Terbutaline
Magnesium sulfate
Indomethacin
Corticosteroids

Question 4

When do you use tocolytic meds?

Answer 4

Before 34 wks

Dilation more than 4 cm

Question 5

When is tocolysis contraindicated?

Answer 5

Placental abruption
Chorioamnionitis
IUFD
Lethal fetal anomaly
Severe IUGR with reversed Doppler flow
Severe pre-eclampsia (HELP, eclampsia)
>34 weeks gestation

Question 6

Nifedipine ADR

Answer 6

Mom- transient hypotension, flushing, HA, dizzy, N

Baby- none

Question 7

Nifedipine contraindications

Answer 7

Cardiac or liver dz, maternal hypotension < 90/50, avoid concomitant use with mag

Question 8

Terbutaline adr

Answer 8

Mom- cardiac or cardiopulmonary arrythmia, pulmonary edema, myocardial ischemia, hypotension, tachycardia, May worsen glycemic control

Baby- fetal tachycardia, hyper-insulinemia, hyperglycemia, myocardial and septal hypertrophy, myocardial ischemia

Question 9

When is terbutaline contraindicated?

Answer 9

Cardiac arrhythmia

Question 10

Magnesium sulfate adr

Answer 10

Mom- flushing, HA, muscle weakness, diplopia, dry mouth, pulmonary edema, cardiac arrest

Baby- lethargy, hypotonia, respiratory depression, demineralization with prolonged use

Question 11

Mag contraindicated

Answer 11

Myasthenia gravis, renal disease

Question 12

Mag clinical pearl

Answer 12

If pt 23-32 weeks pregnant and delivery is expected in next 24 hours, give mag for 12 hours for protection against cerebral palsy