Preeclampsia Flashcards
1
Q
4 drugs
A
1 nifedipine
2 hydralazine
3 magnesium sulfate
4 ca gluconate
2
Q
nifedipine
A
Procardia
3
Q
nifedipine/Procardia
indication
A
- antihypertensive (1st line)
- delay UC
- control angina
4
Q
nifedipine/Procardia
MOA
A
Ca channel blocker
>peripheral arterial vasodilation
>relaxes uterus
5
Q
nifedipine/Procardia
CI
A
- cardiac disease
- renal disease
- hypotension
- terbutaline
6
Q
nifedipine/Procardia
teaching
A
- monitor for headache, flushing, dizzy
- monitor FHR + UC
- hold if BP <90/50
- maintain hydratn> prevent hypotnsn
7
Q
hydralazine
indication
A
antihypertensive
8
Q
hydralazine
MOA
A
direct-acting smooth muscle relaxant
-acts as a vasodilator primarily in resistance arterioles
9
Q
hydralazine
CI
A
- hrt attack
- CAD
- stroke
- hypotnsn
- incr ICP
10
Q
magnesium sulfate
indication
A
- hyper-Ca, hypo-Mg
- NEUROPROTECTION
- —-prevention of seizures w preeclampsia
- —-IV use during delivery
- laxative
11
Q
magnesium sulfate
MOA
A
Mg is assoc w neurotransmission
>decr muscle excitability
12
Q
magnesium sulfate
CI
A
- NOT for long term use during preg
- hyper-Mg, hypo-Ca
- anuria
- hrt block
13
Q
magnesium sulfate
teaching
A
- Ca gluconate (antidote)
- vasodilatn causes lethargy, resp depress
- monitor RR, BP, pulse, ECG, + neurologic status
- not for long term use during pregnancy
