OTC Treatable Conditions Flashcards

1
Q

Nausea and vomiting

A
first recommend eating smaller meals and avoid spicy and odorous meals
Recommend pyridoxine (vitamin B6)
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2
Q

GERD and Gas

A

First recommend eating smaller meals and avoid spicy
Calcium antacids are first line (calcium carb eg Tums)
Use caution in with antacids containing Mg or Al if renal diz is present. Simethicone is considered safe for tx of gas. H2 antagonists (Pepcid Zantac) are category B

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3
Q

Constipation

A

First recommend fiber and fluid intake

Fiber is first line! and psyllium is category B (metamucil)

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4
Q

Cough Cold and Allergies

A

First gen antihistamines are first line chlorpheniramine (this is DOC) and benadryl are category B
Second gen can be used in second and third trimester
Best nasal steroids are budesonide and beclomethasone
Decongestants, dextromethorphan, and guaifenesin are category C (pseudophed should be avoided in first try)

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5
Q

Antibiotic use in pregnancy

A

Penicillins are generally safe (category B) as are cephalosporins, and macrocodes (category B as well, except for clarith which is C)
Do NOT use - quinolone and tetracyclines

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6
Q

Vaginal Fungal Infections

Bacterial vaginosis

A

Fungal infection - use topical AF (cream, sup) for 7 days

BV - clinda or metronidazole PO (topical therapy not recommended for BV treatment)

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7
Q

UTI

A

beta lactase can be used
nitrofurantoin is safe (but avoid in last several weeks of pregnancy)
Avoid FQs, tetracyclines, bacterium (causes hyperbilirubinemia and kernicterus in third trimester)

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8
Q

Chlamydia

Gonorrhea

A

Clap - zpak (azithromycin 1 g) or amoxicillin for 7 d

gonorrhea - cephalosporin (rocephin) or if CI can use azithromycin 2 g x 1 dose

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9
Q

Asthma

A

ICS are first line controller (budesonide is preferred)

Albuterol is preferred rescue inhaler

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10
Q

VTE and Mechanical valves

A

heparin (UFH) or LMWH preferred
convert to UFH (shorter half life) during last month of pregnancy or if delivery appears imminent
Warfarin category X
NOACs are category B or C and aren’t in current recommendations

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11
Q

thyroidism

A

Hypo - treat with levothyroxine (category A)
hyper - PTU and methimazole are both cat D and can cause liver damage. PTU preferred. Mild cases may not require treatment, try to normalize thyroid fxn prior to pregnancy

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12
Q

Anemia

A

Fe supplements plus prenatal vitamins (which also contain some iron)

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