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Pharmacy > Pregnancy and lactation > Flashcards

Pregnancy and lactation Flashcards

1
Q

OTC drugs to avoid in constipation in pregnancy

A

Mineral and castor oil

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2
Q

For GERD in pregnancy, avoid what 2 drugs?

A

Sodium bicarbonate and gaviscon

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3
Q

How to treat hemorrhoids in pregnancy?

A

Fiber, fluid, sitz baths, laxatives and stool softeners.

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4
Q

3 Symptom relief options for hemorrhoids in pregnancy:

A

Topical lidocaine, witch hazel, hydrocortisone

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5
Q

4 Nausea and vomiting therapy options in pregnancy

A

Diclegis, Reglan, zofran, and ginger

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6
Q

Options for hyperemesis gravidarum, list risk too

A

Dexamethasone and prednisolone, risk of oral cleft

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7
Q

First line for gestational diabetes

A

Insulin

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8
Q

Second line for gestational diabetes

A

Glyburide

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9
Q

Pregnancy term for hypertension with proteinuria

A

Pre-eclampsia

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10
Q

Definition of eclampsia

A

Hypertension with proteinuria with seizures

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11
Q

Definition of hypertension in pregnancy

A

90 diastolic BP from 2 readings

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12
Q

for women at risk of pre-eclampsia, _____ after 12 weeks gestation reduces risk. When to stop?

A

81 mg aspirin. Talk with doctor about risk vs benefit.

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13
Q

What supplement at what dose reduces hypertension and pre-eclampsia risk in pregnancy?

A

Calcium 1 gram per day

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14
Q

What supplement is used to prevent progression from pre-eclampsia to eclampsia and to treat eclamptic seizures?

A

Magnesium sulfate

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15
Q

Avoid which 2 drugs in eclamptic seizures?

A

Diazepam and phenytoin

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16
Q

What to do about gestational hyperthyroid?

A

Nothing, usually resolves after 20 weeks gestation

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17
Q

When is ibuprofen (all NSAIDS) contraindicated in pregnancy?

A

1st and 3rd trimester

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18
Q

OTC option for tension headache in pregnancy?

A

Tylenol or ibuprofen (not 1st or 3rd trimester)

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19
Q

What to take for migraine associated nausea in pregnancy?

A

Promethazine, reglan, or compazine

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20
Q

Used in pregnancy with severe headaches not responsive to other treatments:

A

Propranolol low dose as preventative

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21
Q

Drug of choice for asymptomatic bacteriuria in pregnancy

A

Cephalexin

22
Q

When and why to avoid macrobid during pregnancy

A

After 37 weeks due to risk for hemolytic anemia

23
Q

When to use Bactrim for UTI in pregnancy

A

Don’t

24
Q

When during gestation is cipro best for UTI treatment?

A

Never

25
Q

Why are tetracyclines contraindicated during pregnancy?

A

Bone malformations

26
Q

Herpes treatment in pregnancy

A

Acyclovir

27
Q

Treatment of choice for yeast infection in pregnancy

A

Topical / intravaginal antifungals

28
Q

Oral treatment of choice for yeast infection in pregnancy, risks associated

A

Terbinafine or fluconazole 150 mg. Fluconazole very low risk of spontaneous abortion in first trimester. Risk increases with higher doses.

29
Q

Preferred inhaled corticosteroid in asthma in pregnancy

A

Budesonide

30
Q

What steroids are recommended in severe asthma during pregnancy?

A

Systemic

31
Q

First line for runny nose and congestion in pregnancy

A

Nasal Beclomethasone or budesonide

32
Q

Can Afrin be used for congestion in pregnancy?

A

Yes

33
Q

Drug of choice for diabetes during pregnancy

A

Insulin

34
Q

Insulin initiation dosing in pregnancy

A

0.7 to 1 unit per kg per day divided

35
Q

Which are the safest 2 anti seizure meds in pregnancy?

A

Lamotrigine and carbamazepine

36
Q

Tegretol and lamictal can cause what birth defect?

A

Cleft palate

37
Q

If anti seizure meds will be stopped prior to conception, how long before must they be stopped?

A

6 months

38
Q

All women with epilepsy should take folic acid at what dose daily?

A

4-5 mg

39
Q

Drug therapy is indicated for blood pressure in pregnancy of _____

A

160/110

40
Q

Drug of choice for HTN in pregnancy

A

Labetalol

41
Q

Why choose Slynd over other progestin only pills?

A

Can miss a day without as much risk as other POP’s

42
Q

Orilissa

A

Elagolix

43
Q

Elagolix

A

Orilissa

44
Q

Elagolix MOA

A

GNRH antagonist

45
Q

Elagolix indication

A

Endometriosis

46
Q

Elagolix 4 common side effects

A

Amenorrhea, hot flashes, nausea, headache, BMD decrease

47
Q

Uncomplicated acute UTI in pregnancy 2 empiric antibiotics of choice:

A

Augmentin or cefpodoxime

48
Q

What formulation of dextromethorphan should be avoided in pregnancy?

A

Liquids with ethanol

49
Q

What cough med otc is okay in pregnancy?

A

Dextromethorphan and guaifenesin

50
Q

Safest topical pain relief in pregnancy?

A

Lidocaine

51
Q

Safest oral pain relief in pregnancy? Duration?

A

Tylenol, not chronic use.

52
Q
A

Pharmacy (21 decks)

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