Pharm 2a Flashcards

1
Q

Teratogen risk categories

which is best?

which is worse?

A

A-D are acceptable with A being the least risk

X denotes that risk outweigh benefit.

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2
Q

New regualtion for labeling (preg/lactation labeling final rule)

what is removed?

now divided into what sections? 3?

A
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3
Q

what are the 4 phases of parturition?

what is major site of action of each stage?

phase 2 type of contractions?

3 ratio?

4which receptors? not due to?

A
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4
Q

amnion sythesizes what in late pregnancy? this is caused by increased what?

effects on maternal tissue limited by?

so in labor what happens? which causes?

A
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5
Q

what stims lung maturation in the fetus?

how?

A

Fetal cortisol

pro-inflammatory surfactant componentts in amniotic fluid. (cortisol stims production of placental CRH increased hormone production)

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6
Q

uterine relaxation maintained by factors that increase what?

A
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7
Q

uternine contraction result from what?

A
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8
Q

what is crucial for labor contractions across entire uterus?

A

Uterine gap junctions (connexins)

extensive waves of depolarization over large area uterus

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9
Q

Misoprostol

MOA?

clin indicatiosn (labor) 1 causes what to happen? useful for what 3

Contraindications?

Maternal SE?

fetal?

A
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10
Q

Dinoprostone

MOA?

Clin indications 3? abo- what weeks?

Contraindications-

mathernal SE- during abortion??

Fetal?

A
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11
Q

Carboprost

MOA?

Clin ind- 2

contraindicated?

Maternal SE? vaso? temp?

A
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12
Q

Oxytocin

MOA

clin use?

contraind? 2

maternal SE?

A
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13
Q

From rye fungus?

MOA?

effects/indicatiosn? 3 administered when?

Contraindications?

HIstorically?

A
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14
Q
A
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15
Q

what is given to promote lung maturation?

this increases what?

indications? between what weeks? with what signs?

A

corticosteroids

Surfactant

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16
Q

Which cortisol durgs will we use? 2

administered over how long?

b- doses? administration? intervals?

d- doses? administration? intervals?

what type of pneumoctyes do they work on?

A
17
Q

Why do you not just administer cortisol for lung maturation?

in preborn babies with ARDS what can help survival?

A

placenta metabolizes (inactivates) to cortisone

mother can be admin cortisol without adverse fetal effect

NOTE: artificial surfactant can help survival

18
Q

name for drugs that stimulate labor?

drugs that delay labor?

A

uterontonics

Tocolytics