Other Conditions in Pregnancy Flashcards
What should you have a baseline lab value for in a patient with Lupus?
Proteinuria
What is a common why to diagnose unknown Lupus?
Positive RPR (this is positive with syphilis)
What is one thing that should be watched with steroid treatment with Lupus?
Blood Sugars- can be hyperglycemic
What are symptoms of HYPERthyroidism?
Hot, nervous, insomnia, sweating, missed periods, fine hair, palpitations, tachycardia, exopthalamous.
Where is TSH released from?
The pituitary gland- it acts on the thyroid gland to release T3 and T4.
What are the symptoms of HYPOthyroidism?
Cold, fatigue, weight gain, dry skin, edema, joint pain, depression, hair loss, bradycardia, goiter, constipation
What are the recommended guidelines for taking Synthroid?
Take it in the morning, 1 hour before eating or if they have already ate, wait 2 hours
What are the symptoms of gallbladder issues?
RUQ pain, R flank pain, and R shoulder pain
What causes gallbladder issues in pregnancy?
Progesterone- it relaxes the bile ducts and this leads to stasis
What is the hallmark sign of Intrahepatic Cholestasis?
Intense itching, mainly on the hands and feet.
What are the 4 issues you can have with a sick liver?
- Decreased albumin- this leads to third spacing
- Decreased ability to clot- this can lead to increased risk of bleeding
- Decrease in the ability to filter out toxins- this can lead to fatigue
- Decreased ability to clear ammonia- this can lead to changes in LOC
What failed first that results in pulmonary edema?
The Heart- this leads to a backup into the left ventricle and then into the lungs
What are the two reasons for increase risk of UTIs and Pyelo in pregnancy?
- glucose and proteins cause an increase in infections’
- Dilation of the ureters and renal calyces due to progesterone allows bacteria to more easily ascend.
What are four risks of seizures in pregnancy?
- FHR decelerations
- Fetal hypoxia
- Abruption
- Preterm Delivery
What postpartum hemorrhage medication is contraindicated with a patient with asthma?
Hemabate- this can cause bronchospasm
What are measurable times for the detection for different drugs?
Alcohol: <24 hours
Amphetamines: up to 3 days
Cocaine: up to 5 days
Opiates: up to 3 days
Marijuana: 1-4+ weeks
LSD: 1-2 days
PCP: up to 1 week
Heroin: 2-3 days
True or False: Carbon Monoxide crosses the placenta?
True: this binds to hemoglobin which makes less binding capacity for oxygen
What is the biggest risk with Cocaine use in pregnancy?
Abruption
What medication can cause immediate withdrawal for those on methadone?
Nubain and Stadol
How long should a woman wait to get pregnant after bariatric surgery?
12-24 months
What is a common problem after bariatric surgery?
Malabsorption
What is the biggest risk for those experiencing domestic violence in pregancy?
Abdominal trauma- abruption risk
What kind of pH imbalance are pregnant women in?
Respiratory Alkalosis
