Pregnancy Flashcards
When should an RAA be treated in women?
RAA > 1.5 cm. Otherwise treat conservatively. Recommend open repair, as endovascular repair results in needing anticoagulation for life.
Following medications - name possible adverse effects:
Penicillin
Nitrofurantoin
Aminoglycosides (Gentamicin)
Fluoroquinolones
Trimethoprim
Tetracycline
Sulfonamides
Ceftriaxone + Bactrim
Penicillin - none
Nitrofurantoin - causes hemolytic anemia if there is G6PD deficiency
Aminoglycosides - safe besides normal risk of ototoxicity and nephrotoxicity
Fluoro - tendonitis - not recommended
Trimethoprim - inhibits folate - NOT TO BE USED, NTD defects
Tetracycline - fetal malformations
Sulfonamides - kernicterius, high bilirubin
Ceftriaxone + bactrim - NOT TO BE USED in patients with jaundice
What must a couple avoid if they have ED and trying to achieve pregnancy?
Alprastodil.
What are some complications related to pregnant women with hx of renal transplant?
preterm delivery, preeclampsia, IUGR, rejectionW
What are effects of CT on fetus?
Stochastic - randomly determined slight increase in risk of childhood and/or lifetime cancer
Not a question but a reminder. Uterus compresses IVC, so can cause hypotension when in supine position. Place roller under right back if doing a stent exchange.
As written
What is one of most important things in pregnant woman with kidney stones?
Pain control - as pain can induce contractions
Is there good data on alpha blockers and pregnancy?
NO. so has to be shared decision making.
What is something to be concerned about ureteral stent or nephrostomy tube in someone pregnant?
There is rather quick encrustation - so exchanges need to be more frequent 4-8 weeks.
If surgery is decided upon - when should surgery be performed?
Second trimester - must discuss risks and benefits
If asked antibiotic of choice in pregnant woman - what should you say?
Ampicillin + Gentamicin or a cephalosporin
