Pregnancy Flashcards

1
Q

Guaifenisin

A

Cough suppresants - may cause inhuinal hernias

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2
Q

Promethazine

A

AH - Persistant N/V - (Can cause sedation/dystonia) lower seizure threshold

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3
Q

Omeprazole

A

PPI - GERD

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4
Q

Cetylpyridinium

A

Lozenge for Rhinorrhea, sneezing, throat pain (safe for preggo)

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5
Q

Prednisone

A

Glucocorticoids - Refractory N/V- Avoid in 1st tri

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6
Q

Which antifungals are not ok for pregnancy

A

Butoconazole Miconazole Ticonazole

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7
Q

Methyldopa

A

Chronic HTN / preeclampsia

Preferred agent during pregnancy

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8
Q

Ginger

A

Reduces nausea/not vomiting

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9
Q

Diphenhydramine/Chlorpheniramine for Cough & Cold

A

Antihistamine (perferred)

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10
Q

Ranitidine

A

H2 Antagonists - GERD

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11
Q

How much folic acid if previous child has NTD?

A

4 mg of folic acid at least 1 month before pregnancy and throughout 1st trimester

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12
Q

Meclizine

A

Antihistamine- persistant N/V - (DC doxylamine prior) -Causes Cleft pallet

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13
Q

Loperamide

A

Diarrhea (however human studies inconclusive)

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14
Q

Valproic acid

A

Teratogens - Neural tube defects

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15
Q

Most recommended Rx constipation

A

Fiber, Docusate

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16
Q

Which ABX are not ok for pregnancy

A

Trimethoprim/Sulfamethoxazole Levofloxacin Ciprofloxacin Tetracycline Doxycycline

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17
Q

Methylprednisolone

A

Glucocorticoids - Refractory N/V- Avoid in 1st tri

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18
Q

Best Rx for pain/fever is

A

APAP

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19
Q

Aluminum and calcium based products for antacids are

A

GERD - Constipating

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20
Q

Folic acid during preggo

A

Prenatal + at least 1000mcg/D

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21
Q

Diphenhydramine for N/V

A

Antihistamine- persistant N/V - (DC doxylamine prior)

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22
Q

What topical cream/ointments are not ok for pregnancy

A

High-potency steroids Tretinoin - retinoids

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23
Q

Metformin

A

Non-insulin Rx for GDM (cat-B)

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24
Q

Methyldopa - Labetalol

A

Preeclampsia - Chronic HTN

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25
Q

Thalidomide

A

Teratogens - Limb, spine, central nervous system defects (CNS)

26
Q

lansoprazole

A

PPI - GERD

27
Q

P6 acupressure point

A

Nonpharm - reduces nausea

28
Q

Cimetidine

A

H2 Antagonists - GERD

29
Q

Nifedipine - Hydralazine - Labetalol - NHL

A

Preeclampsia - Urgent/ER HTN

30
Q

Doxylamine

A

Antihistamine (Added w/ Pyridoxine) 1st line pharm for N/V

31
Q

Magnesium based products for antacids are

A

GERD - Diarrheal

32
Q

Is bismuth subsalicylate ok for GERD in pregnancy

A

No

33
Q

Isotretinoin

A

Teratogens - Ear, CNS, and cardiac defects

34
Q

Prochlorperazine

A

Dopamine antagonist - Persistant N/V w/out dehydration

35
Q

Insulin

A

Preferred GDM medication

36
Q

Fexofenadine, loratadine, and cetirizine

A

Antihistamine - second line for cough and cold

37
Q

All insulin is preg cat B except

A

Glargine and glulisine (cat-C)

38
Q

Hydrocortisone

A

Glucocorticoids - Refractory N/V- Avoid in 1st tri

39
Q

Oxymetazoline

A

(IN) Decongestion - ONLY for short term use <3D

40
Q

Recommended daily iron for pregnancy is

A

27mg/D

41
Q

What anti-HTN meds are not recommended for pregnancy

A

BAD - (B-BLK, ACEI/ARB, DIURETICS)

42
Q

Sucralfate

A

GERD - viscous protective layer - not well absorbed

43
Q

Ondanestron

A

Serotonin antagonist - Persistant N/V w/ dehydration (preggo concerns)

44
Q

Is Sodium bicarbonate ok for pregnancy

A

Avoid due to metabolic alkalosis

45
Q

Glyburide

A

Non-insulin Rx for GDM (cat-B)

46
Q

What supplements can help diarrhea

A

Calcium and iron

47
Q

Benzonatate

A

Cough suppresants

48
Q

Metoclopromide

A

Dopamine antagonist - Persistant N/V w/out dehydration (can cause tardives/dystonia)

49
Q

All decongestant causes what in pregnancy?

A

Decreased fetal blood flow

50
Q

Nifedipine

A

2nd line agent for HTN (not in 1st/2nd tri)

51
Q

Pyridoxine (Vit-B6)

A

reduces Mild-moderate nausea/not vomiting (Causes neuropathy)

52
Q

Magnesium Sulfate

A

(IV) DOC for eclampsia

53
Q

Most recommended Rx for refractory constipation

A

Magnesium hydroxide, Lactulose, Bisacodyl

54
Q

Labetalol

A

2nd line agent for HTN (not in 1st tri)

55
Q

Codeine, hydrocodone and dextromethorphan

A

Cough suppresants - neonatal withdrawal

56
Q

Folic acid for before/early preggo

A

400-1000 mcg/D

57
Q

Pantoprazole

A

PPI - GERD

58
Q

Dont exceed how much vit B6

A

200mcg/D (neurpathy)

59
Q

When does preeclampsia usually occur?

A

After 20th week - usually 3rd tri

60
Q

What is eclampsia

A

A complication of preeclampsia causing a seizure during pregancy