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Required formula > Preferred Medications in Pregnancy > Flashcards

Preferred Medications in Pregnancy Flashcards

1
Q

Morning sickness, nausea vomiting

A
  • Lifestyle
  • Pyridoxine (vitamin B6) +/- doxylamine

Ginger

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2
Q

GERD/Heartburn

A
  • Lifestyle
  • Calcium carbonate (tums)

Lifestyle:
1. eat smaller , more frequent meals
2. avoid foods that wor

Sx @ night: elevate head of bed & don’t eat 3 hours before sleeping

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3
Q

Flatulence

A

Simethicone

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4
Q

Constipation

A
  • Lifestyle
  • Fiber
  1. ↑ Fluid intake
  2. ↑ Dietary fiber
  3. ↑ Physical activity

Lifestyle

Fiber
1. Psyllium
2. Calcium polycarbophil

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5
Q

Cough, Cold, Allergies

A
  1. Cromolyn
  2. 1st-gen antihistamines
  3. Nasal steroids for chronic allergy: Budesonide and Beclomethasone preferred

Chlorpheniramine (DOC)

Avoid liquid formulations that contain alcohol

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6
Q

Pain

A

APAP

Avoid NSAIDs, including ASA (except low-dose for pre-eclampsia)

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7
Q

Asthma

A

Maintenance: Budesonide
Rescue: SABA (albuterol)

Budesonide preferred steroid for infants
Respules used in nebulizer

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8
Q

HTN

A
  1. Labetalol
  2. Methyldopa
  3. Nifedipine

ACE, ARB & Entresto CI in pregnancy

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9
Q

Diabetes

A

Insulin is preferred

Low-dose ASA for pre-eclampsia PVT in DM1 & 2

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10
Q

Infection: generally considered safe to use

Infection

A
  • Penicillins
  • Cephalosporins
  • Erythromycin
  • Azithromycin

DO NOT USE: quinolones & tetracyclines

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11
Q

Infection:

Vaginal Fungal Infections

A

Topical antifungals (creams, suppositories) x7 days

Avoid fluconazole

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12
Q

Infection:

UTI

A
  • Keflex 500 mg PO Q6h x 7 days
  • Ampicillin 500 mg PO Q6H x 7 days
  • Nitrofurantoin & Bactrim - last line in 1st trimester & not used in last 2 weeks of pregnancy

Must treat bacteriuria, even if asymptomatic

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13
Q

Infection:

Toxoplasmosis

A
  • Test prior to pregnancy with IgG test
  • Avoid unpasteurized dairy products & cat feces
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14
Q

Anticoagulation conditions

VTE

A
  • Tx: LMWH > Heparin
  • PPx: pneumatic conpression devices +/- LMWH

Warfarin is teratogenic
Factor Xa inhibitors & DTIs not recommended

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15
Q

Hypothyroidism

A

Levothyroxine (30-50% dose increase)

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16
Q

Hyperthyroidism

A
  • PTU 1st trimester
  • Methimazole remainder of pregnancy

Both PTU & methimazole have a high risk for liver damage

Required formula (8 decks)

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