T4 - Medical Disorders Substance Abuse (Josh) Flashcards
How is Heart Disease classified?
Class 1
Class 2
Class 3
Class 4
***classes can change throughout pregnancy
Which Heart Disease Classification?
Asymptomatic and has no limitation on activity
Class 1
Which Heart Disease Classification?
Symptomatic w/ slight limitation on activity
Class 2
Which Heart Disease Classification?
Symptomatic w/ marked limitations on activity.
Class 3
Which Heart Disease Classification?
Cardiac insufficiency or angina occurs even at rest
Inability to carry out any physical activity w/out discomfort
Class 4
Which Class of Heart Disease will definitely have a C/S?
Class 4
When is the greatest risk for the client w/ CHF?
28-32 wks b/c that is when volume peaks
Symptoms of CHF
Edema (progresses from pedal to generalized, pitting and pulmonary)
Fatigue
Dyspnea w/ ADL –> orthopnea
Crackles at bases of lungs
What is most common CV complication from pregnancy?
CHF
What is cardiac decompensation?
inability to maintain adequate CO
Why would we give a prophylactic antibiotic for the CV client before invasive procedures?
prevent bacterial endocarditis
Why would we be cautious about Diruetics (Furosemide) for CHF client who is pregnant?
may interfere w/ perfusion to baby
Iron Deficiency Anemia:
What is total Iron requirement for pregnancy?
1000 mg
S/S of Iron Deficiency Anemia
Pallor
Fatigue
Lethargy
HA
Pica
Nursing education r/t supplemental Iron
Vit C increases absorption
Milk, Tea and Cofee DECREASE absorption
How much Folic Acid needed per day?
4 mg/day
When we think of Cocaine, we should think of — —
placental abruption
Smoking is a — and can cause a — baby.
vasoconstictor
LBW
- due to poor perfusion
When do signs of Heroin withdrawal appear in neonate?
within 72 hrs
Client teaching r/t Substance Abuse
Should not go ‘cold turkey’
Heroine addicts may be put on methadone
What are our concerns about Stadol for a client who is a heroin addict?
would cause INSTANT withdrawal symptoms
Treatment for AIDS during Pregnancy
Zidovudine (ZDV) orally beginning after 14 wks gestation (syrup)
Administered IV during labor
Administered to infant ~6 wks after delivery
Amniocentesis for AIDS mom?
NO
Interventions during Intrapartum for AIDS mom
Avoid scalp electrodes
Avoid episiotomy
Avoid Pitocin (strong UC can cause vag tears)
ZDV given IV as ordered
Neonate and HIV
bathe baby prior to any invasive procedures
ZDV at 6 wks
Pregnant client is two times more likely to form — due to increased progesterone.
gallstones
- **antibiotics
- **meperidine or atropine to decrease spasms
- **omit fatty foods
What are the TORCH infections?
Toxoplasmosis
Others (Varicella)
Rubella
Cytomegalovirus (Herpes)
