Uterine (Exam #3) Flashcards
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?
- Induce labor = IV
- PPH prevention = IM
Use of Ergonovine maleate?
Produce uterine contractions AFTER labor completion/delivery of placenta to prevent PPH
- VERY strong/continuous contractions
Treatment for uterine contraction (4, in order from first to last)?
- Massage
- Oxytocin
- Ergonovine maleate
- PGs
Which medication produces physiologic uterine contractions? Which medication products NON-physiologic uterine contractions?
- Physiologic: Oxytocin
- NON-physiologic: Ergonovine maleate
Name hint for PGs?
“-prost”
- Dinoprostone
- Carboprost tromethamine
- Misoprostol
Use of Dinoprostone?
Cervical ripening PRIOR to delivery AT TERM
Use of Carboprost tromethamine?
Prevent PPH due to uterine atony
Only NON-uterotonic drug? What is its use, and under what two conditions would it be used?
Tranexamic Acid
- Prevention of PPH if hormone therapy not wanted or CI
What medication should only be administered in combination with standard uterotonic therapy?
Tranexamic Acid
- Not monotherapy
Goal of use of uterine relaxants (tocolytics)?
Prevent premature labor OR delay premature labor
What medication can be given to help develop lungs in order to deliver early (before 37th week), if needed?
Corticosteroids
Use AND administration of Magnesium Sulfate (MgSO4)?
Uterine relaxation (FIRST LINE) - IV admin only
What two medications can be used for uterine relaxation, and what is the difference between the two?
- Magnesium Sulfate (MgSO4) = IV
- Nifedipine = oral
Use AND administration of Nifedipine?
Uterine relaxation (almost FIRST LINE) - ORAL (alt. to MgSO4)
What medication can be given prophylactically as a tocolytic (uterine relaxant)?
Progesterone
