Pharm Antepartum

Question 1

Calcium Carbonate (TUMS)

Answer 1

• Class: Antacid
• Neutralizes gastric acid

Question 2

TUMS Side Effects

Answer 2

• CONSTIPATION
• Diarrhea
• GI upset

Question 3

TUMS Patient Teaching

Answer 3

• Take w/ meals/juice otherwise it doesn’t absorb very well

Question 4

Famotidine (Pepcid) & Cimetidine (Tagament)

Answer 4

Class: Antacids (H2 receptor antagonists)
- Helps neutralize gastric acid

Question 5

Side Effects of Famotidine (Pepcid)/Cimetidine (Tagament)

Answer 5

• Dizziness
• Headache
• Insomnia

Question 6

Patient Teaching for Famotidine (Pepcid)/Cimetidine (Tagament)

Answer 6

• S/S of overdose: N/V, increased saliva production, dyspnea, and tachycardia

Question 7

Pyridoxine (Vitamin B6)

Answer 7

• Prevents nausea but not vomiting
• Sensory neuropathy reported w/ chronic intake 500+mg/day

Question 8

Patient Teaching Pyridoxine (Vitamin B6)

Answer 8

• 25mg PO Q6-8H
• Discontinue if loss of feeling & loss of balance

Question 9

Doxylamine Succinate (Unisom)

Answer 9

Class: Antihistamine & sleep aid
- Gets prescribed in conjunction with B6
- Take at bedtime with a full glass of water

Question 10

Side effects of Doxylamine Succinate (Unisom)

Answer 10

• Sleepiness/dizziness
• Dry mouth
• Anxiety
• Urinary retention
• Edema

Question 11

Ondansetron (Zofran)

Answer 11

• Blocks impulses to the vomiting centers in the brain preventing N/V
• Report chest pain or palpitations

Question 12

Side Effects of Ondansetron

Answer 12

• Mild headache
• Dizziness
• Fatigue
• Constipation
• QT prolongation (dysrhythmia in mom/fetus)

Question 13

Docusate Sodium (Colace)

Answer 13

Class: Laxative - Stool softener
- Allows water and fat to penetrate the fecal mass

Question 14

Side Effects of Docusate Sodium (Colace)

Answer 14

• May develop hepatotoxicity if used excessively
• Increases the absorption of some medications
• Bloating, gas, stomach cramps

Question 15

Patient Teaching of Docusate Sodium (Colace)

Answer 15

• Not for long term use
• Take w/full glass of water
• Discontinue if diarrhea, weakness, or heart palpitations

Question 16

Psyllium (Metamucil)

Answer 16

Class: Laxative - Bulk Forming
- Pulls in water and expands resulting in increased peristalsis

Question 17

Patient Teaching with Psyllium (Metamucil)

Answer 17

• May cause bloating
• Slowly increase fiber intake to minimize bloating
• Take several hours apart from other medications
• Drink 1.5+ liters of water a day

Question 18

Ferrous Sulfate (Feosol)

Answer 18

Elevates the serum iron concentration which can be converted to hemoglobin or stored later for conversion

Question 19

Adverse Effects of Ferrous Sulfate (Feosol)

Answer 19

• GI distress
• Black stools
• Severe allergic reactions

Question 20

Patient Teaching with Ferrous Sulfate (Feosol)

Answer 20

• Take on empty stomach or 2hrs after meals
• Avoid antacids or antibiotics (can interfere w/absorption)
• Taking Vit C and iron together helps absorb the iron better

Question 21

RhoGAM

Answer 21

Class: Immune globulin
- Sterilized solution made from human blood, prevention of Rh sensitization in Rh negative mother, suppresses the immune response, and prevents hemolytic disease of the newborn in the next pregnancy

Question 22

Patient Teaching of RhoGAM

Answer 22

• Must be administered within 72 hours after Rh incompatible delivery, miscarriage, abortion, or trauma
• Report S/S of allergic reaction immediately