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Pharmacology HOSA > Uterine Drugs > Flashcards

Uterine Drugs Flashcards

1
Q

Albuminuria

A

Excessive protein in the urine

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2
Q

Antepartum

A

The time during pregnancy before childbirth

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3
Q

Eclampsia

A

A condition where seizures and possible coma happen in pregnancy after 20 weeks in a woman who has become hypertensive, with excess protein found in the urine

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4
Q

Placenta previa

A

During pregnancy, the placenta implants in the lower part of the uterus, possibly over the cervix

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5
Q

Preeclampsia

A

A condition in pregnancy after 20 weeks, in a woman when she becomes hypertensive with excess protein found in the urine

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6
Q

Tocolysis

A

To prevent preterm labor

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7
Q

Uterine atony

A

Marked relaxation of the uterine muscle

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8
Q

Water intoxications

A

Fluid overload in the body when electrolytes are imbalanced

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9
Q

Oxytocin MOA

A

Has uterus stimulating properties, and stimulates contractions. Also has antidiuretic and vasopressor effects

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10
Q

Oxytocin use

A

Starting or improving labor contractions, induce an early vaginal delivery when there are fetal or maternal problems such as, diabetes, large fetus, Rh Problems, premature membrane rupture, uterine inertia, and preeclampsia, managing abortion,

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11
Q

Preeclampsia signs

A

Hypertension, headache, albuminuria, edema of the lower extremities occurring at or near term, and this condition may progressively worsen until eclampsia

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12
Q

Oxytocin administration

A

IV, but if that isn’t available, can be given IM during the 3rd stage of labor to produce uterine contractions and control postpartum bleeding and lessen hemorrhage potential. Intranasally, may stimulate milk ejection reflex

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13
Q

Uterine stimulants MOA

A

Increase strength, duration, and frequency of uterine contractions

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14
Q

Uterine stimulants use

A

Decrease the incidence of postpartum and postabortal hemorrhage caused by uterine atony (given after delivery of placenta)

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15
Q

Metoclopramide alternate use

A

Producing a greater milk supply (variable success)

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16
Q

Oxytocin side effects for mother

A

Nausea, vomiting, cardiac arrhythmias, anaphylactic reactions, uterine rupture, uterine hypertonicity, serious water intoxication (esp when administered by continuous infusion and fluids are being received by mouth )

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17
Q

Oxytocin reactions fetus

A

Bradycardia

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18
Q

Uterine stimulants side effects mother

A

Nausea, vomiting, diarrhea, high blood pressure, temporary chest pain, dizziness, water intoxication, headache, allergic reaction, hypertension associated with seizure or headache

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19
Q

Oxytocin contraindications

A

Cephalopelvic disproportion, unfavorable fetal position or presentation, obstetric emergencies, fetal distress where delivery isn’t imminent, severe preeclampsia, eclampsia, hypertonic uterus, total placenta previa

20
Q

Oxytocin interactions

A

Severe maternal hypertension with vasopressors

21
Q

Methylergonovine contraindications

A

Not used before delivery of fetus, hypertension,

22
Q

Carboprost contraindications

A

Before delivery of fetus, hypertension

23
Q

Misoprostol as a uterine stimulant contraindications

A

Hypertension, before delivery of fetus

24
Q

Methylergonovine precautions

A

Heart disease, vascular disease with narrowed vessels, renal or hepatic disease, lactation

25
Q

Carboprost precautions

A

Heart disease, vascular disease with narrowed blood vessels, renal or hepatic disease and lactation.

26
Q

Misoprostol as a uterine stimulant precautions

A

Heart disease, vascular disease with narrowing of blood vessels, renal or hepatic disease, lactation

27
Q

Methylergonovine interactions

A

Excessive vasoconstriction with vasopressors or to people that are heavy smokers

28
Q

Primary treatments to stop PTL

A

Progesterone and rest

29
Q

When are tocolytics indicated

A

Rate of contractions is more than 6 per hour and produce cervical charges

30
Q

Indomethacin as a tocolytic MOA

A

Blocks the production of prostaglandins, which contribute to uterine contractions

31
Q

Magnesium MOA as a tocolytic

A

Calcium antagonist, and decrease the force of contractions

32
Q

Nifedipine as a tocolytic use

A

Used to delay the delivery process for 24-48 hours

33
Q

Tocolytic side effects to the mother

A

Fatigue, flushing, headache, dizziness, diplopia, nausea, vomiting, stomach upset, heartburn, prolonged vaginal bleeding, sweating, hypotension, depressed reflexes, Flaccid paralysis , and hypocalcemia

34
Q

Tocolytics side effects to the fetus

A

Increased heart rate and increase blood sugar

35
Q

Magnesium as a tocolytic contraindications

A

Heart block, myocardial infarction, when woman is within 2 hours of delivery

36
Q

Magnesium pregnancy cat

A

A

37
Q

CCBs as tocolytics contraindications

A

Heart block, myocardial infarction, and when woman is within 2 hours of delivery

38
Q

Terbutaline as a tocolytic contraindications

A

Heart disease, hyperthyroid, poorly controlled diabetes

39
Q

CCBs pregnancy cat

A

C

40
Q

Indomethacin pregnancy cat

A

B

41
Q

Terbutaline as a tocolytic considerations

A

Because of the risk of side effects, terbutaline for more than 48 hours in the home isn’t advised and oral form isn’t recommended for use as a tocolytic

42
Q

Magnesium interactions

A

Increased effectiveness of CNS depressants, and the effectiveness of neuromuscular blocking drugs is enhanced

43
Q

Oxytocics ex

A

Carboprost, methylergonovine, misoprostol, oxytocin

44
Q

Agents for cervical ripening ex

A

Dinoprostone

45
Q

Tocolytics ex

A

Nifedipine, indomethacin, magnesium, terbutaline

Pharmacology HOSA (37 decks)

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