Y2 The midwives exemption Flashcards
Diclofenac
Analgesia, PO 50mgx3/day.
Do not use in Pregnancy (unless necessary), BF is fine.
Hydrocortisone Acetate
Mild corticosteroid, for eczema, allergies, swelling, itching, dermatitis, rash. Topical cream. Not known to cause issues in pregnancy of BF. Don’t use in face, groin, armpits.
Miconazole
(Monistat), Antifungal, used to treat ringworm or yeast infections, vaginal candidiasis. Topical cream. Fine in pregnancy and for BF
Nystatin
(Nystan) Antifungal, oral thrush, skin infections. Mouthwash or available as creams. Fine for pregnancy and BF.
Phytomenadione
(Vitamine K, Konakion) Administered to newborns at birth to prevent bleeding. Can be given in 1 dose IM or 3 doses orally.
Diamorphine
Analgesia, Opioid. IM injection during labour. Not to be administered closer than 6-4 hrs to birth as can affect baby (make them sleepy). Alternatives are Pethidine hydrochloride.
Pethidine hydrochloride
Analgesia, Opioid. IM injection during labour. Not to be administered closer than 6-4 hrs to birth as can affect baby (make them sleepy). Alternatives are Diamorphine.
Pethidine hydrochloride
Analgesia, Opioid. IM injection during labour. Not to be administered closer than 6-4 hrs to birth as can affect baby (make them sleepy). Alternatives are Diamorphine.
Adrenaline
Treating anaphylactic shock. IM injection, 0.5 ml of 1:1000 adrenaline.
Anti-D Immunoglobin
Given to Rh- mothers IM in case of sensitising event(20 w< 250 IU,>500IU), at 28-30 w gestation 1500 IU and within 72 hrs of birth 500 IU.
Carboprost
Treating PPH, uterine atony and not responding to ergometrine/oxytocin. IM 250 mcg, max 8 doses (2mg) no less than 15 mins apart. Contraindication: Cardiac/ pulmonary disease, pelvic infection.
Cyclizine Lactate
Antiemetic, for nausea, vomiting, vertigo, motion sickness. 50mg up to 3x day, 8hrs apart for morning sickness.
Ergometrine maleate
(Syntometrine), Treating PPH due to uterine atony. IM or IV 250-500 mcg. Contraind: eclampsia, woman still in labour, sepsis, severe cardiac disease/hypertension, vascular disease.
Ergometrine w Oxytocin is for 3rd stage of labour, IM 1 mL.
Gelofusine
Fluids/ plasma volume substitute.
Hartmanns solution
Fluids, Sodium lactate+ sodium chloride+ potassium chloride in water. Replacing fluids and electrolytes. Balanced isotonic solution, crystalloid. Considered to be more physiological than normal saline 0.9% but they are generally the same thing.