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NAPLEX 2022 > PREGNANCY & LACTATION > Flashcards

PREGNANCY & LACTATION Flashcards

1
Q

FOLATE SUPPLEMENTATION

A

400 MCG IN ADULTS
600 MCG IF PREGNANT

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2
Q

CALCIUM AND VIT D RECOMMENDATIONS FOR PREGNANT WOMEN

A

1000 MG/DAY OF CALCIUM
600 IU/DAY OF VIT D

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3
Q

WHICH VACCINES ARE RECOMMENDED FOR PREGNANT WOMEN

A

INACTIVATED INFLUENZA VACCINE
SINGLE DOSE OF Tdap FOR EACH PREGNANCY

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4
Q

KEY TERATOGENIC MEDICATIONS

A

ACNE (RETINOIDS)
ABX (QUINOLONES, TETRACYCLINES)
ANTICOAG (EARFARIN)
CV (STATIN, RAAS INHIBITORS)
HORMONES (MOST)
MIGRAINE (ERGOTAMINES)
PSYCH (LITHIUM, PAXIL, TOPIRAMATE, VALPROATE)
HYDROXYUREA
METHOTREXATE
MISOPROSTOL
NSAIDS
RIBAVIRIN
THALIDOMIDE
WEIGHT LOSS DRUGS

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5
Q

MANAGEMENT DURING PREGNANCY: MORNING SICKNESS, N/V

A

LIFESTYLE MODIFICATION
THEN PYRIDOXINE ± DOXYLAMINE

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6
Q

MANAGEMENT DURING PREGNANCY: GERD/HEARTBURN

A

LIFESTYLE
TUMS
H2RA AND PPI CAN BE CONSIDERED

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7
Q

MANAGEMENT DURING PREGNANCY
FLATULENCE

A

SIMETHICONE

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8
Q

MANAGEMENT DURING PREGNANCY
CONSTIPATION

A

LIFESTYLE
FIBER (PSYLLIUM, CA POLYCARBOPHIL)
DOCUSATE AND PEG CAN BE USED TO PREVENT

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9
Q

MANAGEMENT DURING PREGNANCY
COUGH COLD AND ALLERGIES

A

CROMOLYN
1ST GEN ANTIHISTAMINE (CHLORPHENIRAMINE)
CHRONIC ALLERGY: INTRANASL STEROID OK (BUDESONIDE AND BECLOMETHASONE)
AVOID LIQUID FORMULATIONS THAT CONTAIN ALCOHOL

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10
Q

MANAGEMENT DURING PREGNANCY
PAIN

A

NON DRUG
APAP
AVOID NSAIDS AND ASA

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11
Q

MANAGEMENT DURING PREGNANCY
ASTHMA

A

BUDESONIDE
ALBUTEROL

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12
Q

MANAGEMENT DURING PREGNANCY
HTN

A

LABETALOL
METHYLDOPA
NIFEDIPINE

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13
Q

MANAGEMENT DURING PREGNANCY
DIABETES

A

INSULIN PREFERRED

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14
Q

MANAGEMENT DURING PREGNANCY
INFECTIONS

A

OK TO USE PENICILINS, CEPHALOSPORIN, AZITHROMYCIN
NITRFURANTOIN AND SMX/TMP LAST LINE FOR UTI

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15
Q

MANAGEMENT DURING PREGNANCY
ANTICOAGULATION

A

LMWH PREFERRED
PNEUMATIC COMPRESSION DEVICES ± LMWH
NO WARFARIN OR ORAL XA INHIBITORS

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16
Q

BABIES RECEIVING BREAST MILKD PARTIALLY OR EXCLUSIVELY SHOULD RECEIEVE WHAT SUPPLEMENTATION

A

VITAMIN D 400 IU
1 MG/KG OF IRON MONTHS 4 - 6

17
Q

HOW SHOULD POSTPARTUM PAIN BE MANAGED

A

NO CODEINE OR TRAMADOL (RISK TO BABY, ESPECIALLY MOTHERS WHO ARE CYP2D6 ULTRA RAPID METABOLIZERS)
APAP OR IBUPROFEN PREFERRED

18
Q

WHICH MEDICATIONS SHOULD BE AVOIDED DURING LACTATION

A

AMPHETAMINES
AMIODARONE
ERGOTAMINE
LITHIUM
METRONIDAZOLE
PHENOBARBITAL
STATINS

NAPLEX 2022 (37 decks)

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