Neurologic Disorders and Pregnancy Flashcards
Tx: Seizure Disorder
trimethadione, valproic acid, carbamazepine, phenytoin
a. trimethadione
b. valproic acid
c. carbamazepine
d. phenytoin
Phenytoin causes?
a. fetal syndrome
b. cognitive impairment
c. Vitamin K deficiency
d. peculiar facial proportion
Management: Seizure Disorder
a. control seizure with the fewest possible number of anti-seizure
drugs
b. Anti-seizure drugs are mildly teratogenic, decrease dosage in pregnancy to protect the fetus
c. Monitor levels of anti-seizure drugs
In Neurologic illnesses, WOF for
seizures as they may cause
anoxia
Management of Seizure d/o
acontrol seizure with fewest possible number of antiseizure drugs
are mildly teratogenic, decrease dosage in pregnancy to protect the fetus
Antiseizure
Tx for Seizure
a. trimethadione
b. valproic acid
c. carbamazepine
d. phenytoin
tx of seizures that cause of fetal syndrome
Phenytoin
an autoimmune d/o characterized by the presence of an IgG antibody against acetylcholine receptors in striated muscles
Myasthenia Gravis
Pregnancy may cause exacerbation of the disease
Myasthenia Gravis
Myasthenia Gravis – causing failure of these muscle to contract particularly the
a. oropharyngeal
b. facial
c. extraocular groups
Tx of Myasthenia Gravis
a. anticholinesterase
- pyridostigmine (Mestinon)
- neostigmine (Prostigmin)
b. prednisone
c. plasmapheresis
Antidote for neostigmine overdose
ATROPINE
This should be avoided as it diminishes acetylcholine effect
and therefore increase symptoms
Magnesium Sulfate (MgSO4)
nerve fibers become demyelinated and lose their function
Multiple Sclerosis
S/S: MS
a. fatigue
b. numbness
c. blurred vision
d. loss of coordination
Tx: MS
a. adrenocorticotropic hormone (ACTH)
b. corticosteroid
c. immunosuppressants (should be used cautiously)
d. plasmapheresis
Monitor for ___ in MS as they tend to occur as a poorly defined
consequence of the disease
UTIs
Can interfere with respiration and heart action because of the chest compression, if not treated
Scoliosis
- Pelvic distortion can occur and interfere with childbirth
- Epidural anesthesia may be difficult to administer (for pain)
Scoliosis
