Uterine (Exam #3) Flashcards

1
Q

If Oxytocin is being used to induce labor at term, what is the admin route? What if it is being used for prevention of PPH?

A
  • Induce labor = IV

- PPH prevention = IM

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2
Q

Use of Ergonovine maleate?

A

Produce uterine contractions AFTER labor completion/delivery of placenta to prevent PPH
- VERY strong/continuous contractions

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3
Q

Treatment for uterine contraction (4, in order from first to last)?

A
  1. Massage
  2. Oxytocin
  3. Ergonovine maleate
  4. PGs
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4
Q

Which medication produces physiologic uterine contractions? Which medication products NON-physiologic uterine contractions?

A
  • Physiologic: Oxytocin

- NON-physiologic: Ergonovine maleate

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5
Q

Name hint for PGs?

A

“-prost”

  • Dinoprostone
  • Carboprost tromethamine
  • Misoprostol
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6
Q

Use of Dinoprostone?

A

Cervical ripening PRIOR to delivery AT TERM

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7
Q

Use of Carboprost tromethamine?

A

Prevent PPH due to uterine atony

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8
Q

Only NON-uterotonic drug? What is its use, and under what two conditions would it be used?

A

Tranexamic Acid

- Prevention of PPH if hormone therapy not wanted or CI

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9
Q

What medication should only be administered in combination with standard uterotonic therapy?

A

Tranexamic Acid

- Not monotherapy

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10
Q

Goal of use of uterine relaxants (tocolytics)?

A

Prevent premature labor OR delay premature labor

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11
Q

What medication can be given to help develop lungs in order to deliver early (before 37th week), if needed?

A

Corticosteroids

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12
Q

Use AND administration of Magnesium Sulfate (MgSO4)?

A
Uterine relaxation (FIRST LINE)
- IV admin only
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13
Q

What two medications can be used for uterine relaxation, and what is the difference between the two?

A
  • Magnesium Sulfate (MgSO4) = IV

- Nifedipine = oral

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14
Q

Use AND administration of Nifedipine?

A
Uterine relaxation (almost FIRST LINE)
- ORAL (alt. to MgSO4)
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15
Q

What medication can be given prophylactically as a tocolytic (uterine relaxant)?

A

Progesterone

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16
Q

What medication is NOT used acutely as a tocolytic (uterine relaxant), and why (2)?

A

Progesterone

  • Acts on nuclear receptors = slow
  • ALREADY present during pregnancy