Medications In Womens Health

Question 0

Uterine relaxant. (Tocolytic) Anti-convulsant R/T eclampsia. Tx of choice to treat preterm labor. SE: lethargy, muscle weakness, decreased resp.

Answer 0

Magnesium sulfate

Question 1

Uterine relaxant. (Tocolytic) beta andrenergic agonist. Also anti-asthmatic. SE: weakness, sympathomimetic. Can–> tachycardia in mom and infant.

Answer 1

G: terbutaline

B: Brethine

Question 2

Prostaglandin. Used for cervical ripening prior to inducing labor. SE: hypersensitivity, H/A, N&V, hypotension.

Answer 2

G: dinoprostone

B: Cervidil

Question 3

Uterine stimulant (oxytocic) for induction of labor. Increases intracelluar Ca+ in uterine smooth muscle. SE: N&V, cardiac disrhythmias, increase BP, fetal bradycardia.

Answer 3

G: oxytocin

B: Pitocin

Question 4

Uterine stimulant uses in Tx of postpartum bleeding. Avoid use in patient with hypertension. SE: N&V, dizziness, HA, increases BP

Answer 4

G: methylergonovine

B: Methergine

Question 5

Oral contraceptive, contains both estrogen and progesterone. SE: risk of thromboembolic disorders ESP if hypertensive, smoker, increase risk of breast, uterine and ovarian cancer.

Answer 5

G: ethinyl estradiol/norethindrone

B: Ovcon 35

Question 6

Injectable contraceptive. Every 3 mo dosing, given intramuscular. SE: rash, acne, irregular menstrual periods.

Answer 6

G: medroxyPROGESTERone

B: Depo-Provera

Question 7

Estrogen. Used in hormone replacing therapy and to treat hormone sensitive tumors. In menopausal HRT progestin added to counteract hyperplasia on endometrium. SE: N&V. Risk of blood clots and some cancers.

Answer 7

G: estradiol

B: Estrace

Question 8

Bone reabsorption inhibitor, calcium regulator. Used in tx of osteoporosis. SE: esophagitis.

Answer 8

G: alendronate sodium

B: Fosomax

Question 9

Ovulation stimulant. May cause multiple births SE: nausea,abd bloating, breast engorgement
hot flashes.

Answer 9

G: clomiPHENE

B: Clomid

Question 10

Immunizing agent against HPV, leading cause of cervical CA. Do not give in the presence of acute febrile condition. SE: hypersensitivity.

Answer 10

G: HPV vaccine

B: Gardasil

Question 11

Opioid analgesic, may be used for labor pain mgt. not for prolonged use (2+days) due to metabolite nor meperidine can accumulate and cause increases risk of seizures.

Answer 11

G: meperidine

B: Demerol

Question 12

Adrenal corticosteroid glucocorticoid , anti-inflammatory. SE: aggravation or masking of infections, malaise, weight gain, vertigo, H/A, HTN, nausea, and hypocalcemia. Na and fluid retention.

Answer 12

G: betamethasone

B: Celestone.