Pregestational Problems Flashcards
Cocaine/crack
Ecstasy
Stimulant
Alcohol
Depressant
Marijuana
PCP
Psychotropic
Heroin
Narcotic
Methadone tx
Methadone
Blocks withdrawal symptoms of opioids
Crosses the placenta
Frequent urine drug screens (methadone positive)
Pregnancy influence on Diabetes
Increase Vascular diseases: Increase BP Neuropathy Retinopathy Ketoacidosis ( high BS, polydipsia, polyphagia, weakness, fruity breathe, confusion
Diabetes influence on pregnancy:
Maternal/ fetal
MATERNAL: hydraminos( excess fluid), preeclampsia-eclampsia, ketoacidosis, retinopathy
FETAL: congenital anomalies, feeding issues, slow/difficult labor (dystocia), macrosomia
When do u screen for gestational diabetes?
24-28 weeks
High risk if over 25
Glucose:
Fasting
2hrs after meal
Hypoglycemia
Fasting= <50
Insulin requirements in 2nd trimester…?
Increase
What is an inadequate level of Hb in pregnant woman?
Causes?
<11 Iron or frolic acid deficiencies Hb destruction (sickle cell anemia/ thalassemia
Anemia risks maternal/ fetal?
MATERNAL: preeclampsia, infection, post hemorrhage, delayed healing, tired
FETAL: low birth weight, prematurity, stillbirth
PO iron side effects?
Vomiting, diarrhea, constipation
Black stools
TTAKE WITH VITAMIN C
Folic Acid deficiencies leads to…?
NEURAL TUBE DEFECTS
spina bifida, anencephaly- born without parts of brain or skull, meningomyelocele
Folic acid recommendations and diet?
0.4 mg/daily
Green leafy, legumes, red meats, veggies, fish, poultry
Sickle cell crisis trigger and position?
Infection can trigger crisis ( pneumonia, UTI, osteomyelitis)
Place in left lateral
May have premature delivery
Sickle cell anemia patho?
HgS causes RBC to be crescent in SPLEEN, BONE MARROW, PLACENTA
Sickle cell anemia maternal/ fetal risks and s/s?
MATERNAL: abd, joint pain, undernourished, ulcers on ankles, VASO-occlusive Crisis (pain), infection
FETUS: prematurity, IUGR, fetal death ( sickle cell placenta)
What must all practitioners test pregnant women for at initial prenatal screening?
AIDS
HEPATITIS
SYPHILLIS
( Must get consent)
When is it optimal to give birth for woman with HIV?
Elective C/S at 38wks, before ROM
When should u screen for HIV?
First and third trimester
Peripartum Cardiomyopathy s/s?
CHF symptoms
Symp. attributed to chronic HTN, , mitral stenosis, obesity, viral myocarditis
Eisenmenger Syndrome cause and complication?
heart disease
Develop from cardiac lesions
Cause left to right shunting and Pulmonary HTN
Mitral Valve Prolapse s/s and tx?
Usually a symptomatic
Or palpitations, chest pain, dyspnea
Tx: propanolol, ABX NOT RECOMMENDED
