Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Behavioral Health > Psych Meds in Pregnancy & Lactation > Flashcards

Psych Meds in Pregnancy & Lactation Flashcards

1
Q

Risks for Psychiatric Disorders

A

Mood disorders
Anxiety disorders
Psychotic disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Risks for a Fetus with Untreated Disorders

A 
Preterm delivery
Lower birth weight
Spontaneous abortion
Pre-eclamsia
Instrumental deliveries
Operative deliveries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Neonatal Outcomes of Untreated Disorders

A 
Poor neonatal adaptation
Increased risk of NICU admission
Growth retardation
Lower APGAR scores
Decreased head circumference
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Child Development of Untreated Disorders

A 
Negative effect on fetal-maternal bonding
Difficulty with affect regulation
Cognitive delays
Maladaptive social interactions
Increased levels of anxiety & fear
Increased levels of ADHD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Risk to Mother with an Untreated Disorder

A

Poor nutrition
Impaired self care
Failure to follow medical/prenatal guidelines
Worsening of co-morbid medical illness
Increased exposure to ETOH, tobacco, & drugs
Impact on family
Postpartum psychiatric complications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Treatment Options for Mental Disorders

A 
Psychosocial
Psychotherapy
Massage
Light Therapy
Exercise
ECT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Key Concepts in Pregnancy for Pharmacotherapy

A

Placental barrier: lipid solubility, molecular weight, ionization
Safe period
Pharmacokinetics: physiologic changes, increased plasma volume, glomerular filtration, action of liver microsomal activity, protein binding, slowing of gastric motility
Drug safety data
US FDA pregnancy categories

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Antidepressant Therapy

A

TCAs: amitriptyline, nortriptyline, desipramine
SNRIs: venlafaxine (Effexor), duloxetine (Cymbalta)
Bupropion (Wellbutrin)
Trazodone
Mirtazipine (Remeron)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Symptoms of SSRI or SNRI Withdrawal in the Neonatal

A

Tremor
Restlessness
Increased muscle tone
Increased crying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Issues in the Fetus when Mom is on Lithium

A

Epstein’s anomaly (tricuspid valve)
Floppy baby syndrome
Neonatal hypothyroidism
Nephrogenic DI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Mood Stabilizers

A 
Lithium
Lamotrigene (Lamictal)
Valproate (Depakote)
Carbamazepine (Tegretol)
Oxcarbazepine (Trileptal)
Gabapentin (Neurontin)
Topiramate (Topamax)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Valproate (Depakote)

A

Human teratogen: neural tube defects, irritability, jitteriness, feeding problems, growth retardation, lower IQ scores

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Carbamazepine (Tegretol)

A

Human teratogen: craniofacial defects, developmental delays, fingernail hypoplasia, neural tube defects
Decrease birth weight
Decreased head circumference

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Antipsychotics

A 
Phenothiazines & butyrophenones
Olanzapine (Zyprexa)
Quetiapine (Seroquel)
Risperidone (Risperdal)
Ziprasidone (Geodon)
Aripiprazole  (Abilify)
Clozapine (Clozaril)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Neonatal Withdrawal Syndrome with Benzodiazepines

A 
Tremor
Irritability
Diarrhea
Vomiting
Hypertonicity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Benzodiazepines

A

Clonazepam (Klonopin)
Lorazepam (Ativan)
Alprazolam (Xanax)
Diazepam (Valium)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Sedative/Hypnotics

A

Zolpidem (Ambien)
Zaleplon (Sonata)
Eszopiclone (Lunesta)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Benefits of Lactation for the Infant

A 
SIDS
GI problems
Anemia
Respiratory ailments
Otitis media
Obesity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Key Principles of Pharmacotherapy in Lactation

A 
Low oral bioavailability unlikely to cause systemic effects
Drugs enter breast milk via diffusion
Lipid solubility
Protein binding
Molecular weight
pH
Establishment of milk production
Neonatal physiology
Safety in pregnancy doesn't equal to safety in lactation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Risk Categories in Lactation

A 
L1: safest
L2: safer, remote risk
L3: moderately safe, risk possible
L4: possibly hazardous, positive evidence of risk
L5: contraindicated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Sertraline (Zoloft) Lactation Category (SSRI)

A

L2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Fluoxetine (Prozac) Lactation Category (SSRI)

A

L2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Amitriptyline (Elavil) Lactation Category (TCA)

A

L2

24
Q

Imipramine (Tofranil) Lactation Category (TCA)

A

L2

25
Q

Nortriptyline (Pamelor) Lactation Category (TCA)

A

L2

26
Q

Venlafaxine (Effexor) Lactation Category (SNRI)

A

L3

27
Q

Duloxetine (Cymbalta) Lactation Category (SNRI)

A

L3

28
Q

Mirtazipine (Remeron) Lactation Category

A

L3

29
Q

Bupropion (Wellbutrin) Lactation Category

A

L3

30
Q

Trazodone Lactation Category

A

L2

31
Q

Lithium Lactation Category (Mood Stabilizer)

A

L3

32
Q

Lamotrigene (Lamictal) Lactation Category (Mood Stabilizer)

A

L3

33
Q

Carbamazapine (Tegretol) Lactation Category (Mood Stabilizer)

A

L2

34
Q

Valproic acid (Depakote) Lactation Category (Mood Stabilizer)

A

L2

35
Q

Gabapentin (Neurontin) Lactation Category (Mood Stabilizer)

A

L2

36
Q

Oxacarbazepine (Trileptal) Lactation Category (Mood Stabilizer)

A

L3

37
Q

Topiramate (Topamax) Lactation Category (Mood Stabilizer)

A

L3

38
Q

Chlorpromazine (Antipsychotic) Lactation Category

A

L3

39
Q

Perphenazine (Antipsychotic) Lactation Category

A

L3

40
Q

Haloperidol (Haldol) Lactation Category (Antipsychotic)

A

L2

41
Q

Quetiapine (Seroquel) Lactation Category (Antipsychotic)

A

L2

42
Q

Olanzapine (Zyprexa) Lactation Category (Antipsychotic)

A

L2

43
Q

Ziprasidone (Geodon) Lactation Category (Antipsychotic)

A

L2

44
Q

Risperidone (Risperdal) Lactation Category (Antipsychotic)

A

L3

45
Q

Aripiprazole (Abilify) Lactation Category (Antipsychotic)

A

L3

46
Q

Clozapine (Clozaril) Lactation Category (Antipsychotic)

A

L3

47
Q

Alprazolam (Xanax) Lactation Category (Benzo)

A

L3

48
Q

Clonazepam (Klonopin) Lactation Category (Benzo)

A

L3

49
Q

Diazepam (Valium) Lactation Category (Benzo)

A

L3

L4: chronic use

50
Q

Lorazepam (Ativan) Lactation Category (Benzo)

A

L3

51
Q

Eszopiclone (Lunesta) Lactation Category (Hypnotic)

A

L2

52
Q

Zaleplon (Sonata) Lactation Category (Hypnotic)

A

L2

53
Q

Zolpidem (Ambien) Lactation Category (Hypnotic)

A

L2

54
Q

Barriers to Treatment

A

Attitudinal: stigma, unacceptability of treatment, guilt, anxiety, financial

55
Q

Risk vs. Benefit Analysis

A

Maternal psychiatric history
Potential deleterious effects of untreated illness
Information about medication

Behavioral Health (25 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions