Wk 12: Drug use in pregnancy: Chronic disease Flashcards
1
Q
Outline the management of depression
A
- CBT
- 1st line: fluoxetine 20mg OD
2
Q
Outline the management for schizophrenia
A
- CBT
- Antipsychotics (weight gain)
- Olanzapine (weight gain)
3
Q
Babies born to epileptic women have an inc risk of NTD, what must the mother take to avoid this?
A
Folic acid 5mg daily
4
Q
Outline the management of epilepsy
A
- Avoid multiple agents
- Ideally = monotherapy w/ most effective medication at lowest effective dose
- Avoid sodium valproate
5
Q
Which drugs are used for hyperthyroidism?
A
- Propylthiouracil (1st trimester)
- Carbimazole (2nd trimester)
6
Q
What are the risks to the mother + fetus when suffering from diabetes?
A
- Miscarriage
- Pre-eclampsia
- Pre-term labour
7
Q
What must be discontinued before pregnancy/ASAP after confirmation?
A
- ACE inhibitors + ARBs
- Statins
8
Q
What are some lifestyle advice to someone suffering from hypertension?
A
- Weight management
- Exercise
- Healthy eating
- Restrict sodium intake
9
Q
What is the treatment option for those suffering from hypertension?
A
- Labetalol
- Nifedipine
- Methyldopa
10
Q
What is the post natal care of those w/ hypertension?
A
- Monitor BP after birth
- Target <140/90 mmHg
- Review antihypertensive treatment
11
Q
How do you stay well during pregnancy when suffering from asthma?
A
- Stop smoking
- Flu vaccination
- Asthma review
- Medication adherence
