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Mother-Infant > OB Medications > Flashcards

OB Medications Flashcards

1
Q

What is Pitocin used for?

(3) points

A
  • Induces or stimulates labor
  • Increases uterine contractions
  • Decreases postpartum bleeding
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2
Q

Contraindication for Pitocin?

A

Cervix not being “ripened”

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3
Q

Any side effect for pitocin?

A
  • Itracranial hemorrhage (vasodilation)
  • Painful contractions
  • Uterine rupture
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4
Q

Pitocin is the synthetic version of what hormone in our body?

A

Oxytocin

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5
Q

What is methergine used for?

A
  • Stimulates uterine contractions
  • most commonly used to prevent and treat post partial hemorrhage
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6
Q

Which medication is most commonly used to prevent and treat PPH?

A

Methergine

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7
Q

What S/E can you expect w/ methergine

There are two, rel. to CV

A
  • HTN
  • Stroke
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8
Q

What safety precaution should you be aware of before giving methergine?

A

Do not give to HTN clients and monitor BP

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9
Q

What is magnesium sulfate used for?

A

Used to prevent seizures d/t worseing preeclampsia

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10
Q
  • Arrhythmias
  • Decreased calcium
  • Decreased deep tendon reflexes
  • Decreased RR
  • Decreased UO

Are all S/E of which medication

A

Magnesium sulfate

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11
Q

What is turbetaline used for?

A

Supresses preterm labor

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12
Q

Terbatuline is considered a tocolytic, why?

A

Because it decreases uterine contractions

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13
Q

S/E of terbutaline?

A
  • Tremors
  • Nervousness
  • Palpitations
  • Hypotension
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14
Q

Any education for terbutaline?

A

You have to monitor HR & BP

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15
Q

Terbutaline is what type of agonist?

A

Beta 2 agonist

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16
Q

What is fentanyl used for in pregnancy?

A

Pain control

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17
Q

What are 3 SE for fentanyl?

A
  1. Respiratory depression
  2. Constipation
  3. Low HR + RR
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18
Q

What is the antidote for Fentanyl?

A

Narcan/Nalaxone

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19
Q

A pregnant woman has morning sickness, what med do you give her?

A

Phenergan

Also called promethazine

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20
Q

3 S/E for phenergan

A
  1. Confusion
  2. Sedation
  3. Headache
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21
Q

Education for phenergan?

A

Slow IV push and monitor RR

Due to its sedative effects

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22
Q

What is Stadol?

A

Opioid used to relieve pain during labor

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23
Q

S/E of Stadol?

A

Resp. depression

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24
Q

What would you want to monitor with Stadol?

A

Respiratory Rate

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25
Q

Hemabate, what is it used for?

A
  • Causes smooth muscle contractions
  • Terminates pregnancy (13-20)
  • Treats PPH caused by uterine atony (boggy)
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26
Q

Hemabate is very similar to pitocin, why?

A
  • Causes uterine contractions
  • Treats PPH caused by uterine atony
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27
Q

S/E of hemabate

A

Arrhythmias, uterine rupture, HTN, bronco construction

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28
Q

Cyotec (Misoprostol), what is it used for?

A

-Induces labor
-Used for elective abortion
-Softens cervix/promotes cervical ripening
-Prevents uterine atony after delivery

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29
Q

How is Cytotec administed?

What form and where?

A

Tab, vaginally or rectally

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30
Q

Cervidil (Dinoprostone), what is it used for?

A
  • Effaces and dilates cervix
  • Stimulates uterine contractions
  • Expels uterine contents
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31
Q

Education for cervidil?

A

Vaginal insert

32
Q

What is betamethasone used for?

A

Given IM for lung development in premature infants

33
Q

Betamethasone is administered to who? Baby or mother?

A

Given as an IM to mother

34
Q

Surfactan synthesis in fetus is stimulated by what medication?

A

Betamethasone

35
Q

What does prostglandin gel do?

A
  • Induces labor
  • Terminates pregnancy
  • Ripens unfavorable cervix
36
Q

Where do you store prostglandin gel?

A

In the freezer

37
Q

How do you administer prostglandin gel?

A

Vaginally

38
Q

What is the first line tocolytic?

A

Nifedipine

39
Q

Nifedipine also treats what?

A

Gestational HTN and preeclampsia

40
Q

What precaution do you have to take w/ nifedipine

A
  • Use cautiously in breastfeeding
  • Monitor BP
41
Q

What drug class is nifedipine?

A

Calcium Channel Blocker

42
Q

What med would you give to reduce maternal BP w/o reducing HR and CO?

A

Labetalol

43
Q

What is hydralazine used for?

A

Tx of sever HTN in pregnancy

44
Q

We have an overdose of Magnesium sulfate, what antidote do we use?

A

Calcium gluconate

45
Q

Percocet (oxycodone) is used for what?

A

PP pain

46
Q

Biggest precaution w/ percocet is what?

A

Do not breastfeed while on percocet!

It is toxic to infants

47
Q

What is Norco composed of?

A

Hydrocodone + Acetaminophen

48
Q

What is Norco used for?

A

Pain

49
Q

S/E of Norco?

A

Respiratory depression

50
Q

Using Norco during pregnancy can have what effect on the baby after moms d/c drug in PP?

A

Neonatal abstinence syndrome

A group of conditions caused when a baby withdraws from certain drugs they were exposed to in the womb before birth.

51
Q

What is Tylenol #3 used for?

Codeine + Acetaminophen

A

PP pain

52
Q

What do you want to instruct pregnant woman while using Tylenol #3?

A

Dont breastfeed

53
Q

If mom cannot take Norco or Tylenol #3, what alternative pain medication can you give to breastfeeding mothers?

A

Ibuprofen

54
Q

________ is an NSAID given for pain and is injected IM

A

Toradol (Ketorolac)

55
Q

Mom needs a stool softner, what do you give?

A

Colace (Docusate Sodium)

Okay to give during pregnant and breastfeeding

56
Q

What is simethicone used for?

A

Gas reduction and to reduce bloating

57
Q

What is Rhogam used for?

A

Used when there is Rh factor incompatibility between mother and baby

Mother would be Rh- if she needed this

58
Q

Regular insulin is used for what
?

A

Gestational diabetes

59
Q

What is the intermediate acting insulin called?

A

NPH

60
Q

What is MMR used for?

A

To prevent:
* Measles
* Mumps
* Rubella

61
Q

Is MMR a live vaccine?

A

Yes

62
Q

When do we give MMR?

A

After birth

63
Q

What is the tDaP vaccine used for?

A

Tetanus, diphteria, pertussis

64
Q

When can tDaP be given?

A

During pregnancy between 27-36 weeks

65
Q

What is Vitamin K used for?

A

To help baby blood coagulate

Prevents hemorrhagic disease of the newborn

66
Q

Who gets vitamin K and in what form?

A

Injected IM to the babies thigh

67
Q

Hepatitis B Vaccine is given to prevent what?

A

Hep B

68
Q

When is Hepatits B vaccine given to babies?

A

Before discharge

69
Q

What is the difference between hepatitis immune globulin vs. hepatis b vaccine?

A

Hep immune globulin is given when the mom is Hep B positive

70
Q

What is the 1st line of defense for sepsis in the baby?

A

Ampicillin

THINK (A)

71
Q

What is the second line of defense for sepsis in a baby?

A

Gentamicin

72
Q

What risk does the baby have when getting gentamicin?

A

Gentamicin is ototoxic

73
Q

What is erythromycin eye ointment for?

A

It is used to prevent gonorrhea and chlamydia infection in babies eyes

74
Q

What is indocin used for?

A

Decreases uterine contractions d/t preterm labor

75
Q

Indocin is what pharm class?

A

NSAID

76
Q

What is nubain used for?

A

Similar to morhine, it is a pain med

77
Q

What is stadol?

A

Opioid used to relive pain during labor

Mother-Infant (15 decks)

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