Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Pharmacology (Semester 2) > Drugs Affecting Childbearing Women and Newborns > Flashcards

Drugs Affecting Childbearing Women and Newborns Flashcards

(83 cards)

Start Studying
1
Q

What are the side effects of estrogen excess?

A

Vertigo, Fluid Retention, Edema, Breast tenderness/enlargement, Chloasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are not so common side effects of estrogen excess?

A

Leg cramps, Vision Changes, Vascular Headache, Hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are side effects of progestin excess?

A

Weight gain, Acne, Vaginitis from yeast, Excess hair growth, Decreased breast size, Amenorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does ACHES stand for?

A

abdominal pain, chest pain, headache, eye strain, swelling in legs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

OCP: absolute contraindications?

A

Hx of breast cancer/ thromboembolitic disorders/ cerebrovascular or cardiovascular disorders/ liver tumors, pregnancy, diabetic complications (>20yrs), undiagnosed vaginal bleeding, hypertension, heavy smoker/35+ yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

OCP: cautious use?

A

> 35 yrs and smokes <15 cigs/day, more than 40 yrs of age, non-insulin dependent diabetes, controlled or mild hypertension.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the combined OCPs?

A

The pill, NuvaRing, The patch, Lunelle (IM, injection)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the progestin-only OCPs?

A

Mini-pill, IUD (Mirena), Depo-Provera (IM, injection), Implanon, EC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the 2 most common Tocolytics?

A

Beta-Adrenergic Agent and Calcium Antagonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the 2 Beta-Adrenergic Agents used?

A

Brethine and Yutopar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the Calcium Antagonist used?

A

Magnesium Sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the 2 Tocolytics used for long-term PO?

A

Calcium-channel blocker and Prostaglandin Synthesis Inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the Calcium Channel blocker used?

A

Procardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the Prostaglandin Synthesis Inhibitor used?

A

Indocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the corticosteroids given to promote surfactant development in PTLs?

A

Betamethasone and Dexamethasone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the two types of drugs given to treat preeclampsia?

A

Anticonvulsant’s (magnesium sulfate) and antihypertensives (Apresoline and Aldomet)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the 2 Narcotic agents given for pain management?

A

Demerol and Morphine Sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 2 mixed narcotics given for pain management?

A

Stadol and Nubain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the 2 Sedative-Hypnotics given for pain management?

A

Phenergan and Vistaril

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the antagonist medication used for all pain management medications?

A

Narcan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the 2 medications used for Induction and Augmentation of labor?

A

Uterotropic Drugs: Prostaglandin and Oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the 2 Prostaglandin medications given for cervical ripening?

A

Cervadil and Cytotec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the 2 drugs given for postpartum hemorrhage?

A

Uterotropic drugs: Ergot Alkaloids and Prostaglandin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the 2 medications of Ergot Alkaloids given?

A

Methergine and Ergotrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is the prostaglandin medication given for postpartum hemorrhage?
Carboprost
26
What are maternal postpartum medications used for?
Lactation suppressant, Analgesic, Promote Bowel Functioning, Relieve Perineal Wounds, Relieve perineal hemorrhoids.
27
What are the 3 postpartum medications given to the Newborn?
Vitamin K, Triple dye, and Erythromycin opthalmic ointment.
28
What are 5 medications given for patients with Endometriosis?
Ibuprofen, Progestin contraceptive, Aromatase Inhibitor, Testosterone derivative, Gn-RH Agonists
29
What is the medication given for Aromatase Inhibitor?
Arimidex
30
What is the medication given for Testosterone derivative?
Danazol
31
What are the 2 medications given for Gn-RH Agonists?
Lupron Depot and Synarel.
32
OCP: what is the action of the Estrogen-Progesterone pill?
suppresses the release of LH and FSH (occurs when estrogen levels are high).
33
OCP: what is the action of the "mini pill"?
alters cervical mucosa
34
What are some drugs that impairs the effectiveness of the pills?
antibiotics, smoking, drugs, caffeine, St. John's Wort.
35
OCP: what are the two hormonal injections, route, S/E, frequency?
Depo-Provera (Q3months) and Lunelle (monthly), IM route, S/E amenorrhea.
36
OCP: what is the frequency and S/E of NuvaRing?
Change every one month (3 weeks in, 1 week off), S/E: potential vaginal irritation.
37
OCP: what are the two IUD's used and what is the frequency?
Paraguard (10-12 years, ideal if have CVD) and Mirena (5 years).
38
OCP: what is the frequency of the transdermal patch?
Change every month (wear 3 weeks, off 1 week).
39
OCP: What are the three Emergency Contraceptives used and what are their frequency?
Plan B (up to 3 days with N/V), Ella (up to 5 days), Copper T/Paraguard (up to 5-7 days).
40
OCP: mini pill, what are some nursing considerations?
use for patients who are breast feeding, hx of coronary artery disease, and hx of cancer.
41
What is the FDA Class A drug system mean?
studies in pregnant women show no risk
42
What is the FDA Class B drug system mean?
studies in pregnant animals show no risk
43
What is the FDA Class C drug system mean?
safety not determined in human pregnancy, animal studies show some risk or not done.
44
What is the FDA Class D drug system mean?
some evidence of risk in human pregnancy
45
What is the FDA Class X drug system mean?
reports in humans and various studies in animals show risk.
46
When do you take iron supplements?
2nd-3rd trimester, and 6 weeks postpartum.
47
What are some dietary sources of iron?
meats, dark greens, egg yolk, cereal, soybeans, tomatoes, rice, lentils.
48
What are some side effects of iron?
constipation, N/V, abdominal discomfort, dark colored stool.
49
What are some nursing implications when taking iron?
best absorbed on an empty stomach or taken with water or juice, If GI upset occurs take with food, calcium/cereals/tea/coffee decrease absorption of iron, take with zinc and copper supplements because iron interferes with its absorption.
50
When do you take folic acid?
before conception to the 1st month of pregnancy
51
What are some dietary sources of folic acid?
legumes, grains, dark greens, OJ, pasta, bread, flour.
52
What are some side effects of folid acid?
rash, puritus, intensely colored urine, allergic bronchospasm, erythema.
53
What are some nursing implications for prenatal vitamins?
vitamin A in excess is teratogenic, vitamins DEK in excess is toxic, water-soluble vitamins are easily transferable from food to water in cooking, used effectively when taken with food.
54
What are some non-pharm methods to treat N/V?
ginger, peppermint, get up slowly, eat snack with high fiber, small frequent meals, avoid fatty-foods, liquids taken between meals.
55
What are some meds given to treat N/V?
Reglan and Zofran
56
What are some S/E of Reglan and Zofran?
HA, constipation, fatigue, insomnia
57
What are some nursing considerations for treating N/V?
eat every 2-3 hours, salt food to replace chloride, eat potassium and magnesium rich foods, TPN.
58
What are some causes for heartburn in pregnancy?
cardiac sphincter relaxes d/t increased hormone levels, gastric motility decreased
59
What are some non-pham methods to treat heartburn?
don't lay down after eating, dont drink fluids after meal, limit size of food, eat slowly, avoid citric acids.
60
What are some medications pregnant women can use to treat heartburn?
Antacids (sodium free, magnesium and aluminum), Histamine 2 Receptor antagonists.
61
What medication can a pregnant woman take for pain?
Acetaminophen (Tylenol)
62
What medications cant a pregnant woman take for pain?
Ibuprofen and Aspirin.
63
What are some contributing factors for PTL?
age of mother (young or old), drug usage, previous history of PTL.
64
What are some initial measures taken for treatment of PTL?
hydration, decrease activity level, treatment of infection.
65
What are some contraindications for treating PTL?
less than 20 weeks GA, bulging bag of water or PROM, confirmed fetal demise, maternal hemorrhage.
66
What are some nursing interventions taken for PTL?
assess breath and bowel sounds, monitor I/O, monitor FHR/VS, assess DTR, place in left lateral position.
67
What are some S/E of Beta-Adrenergic Agents?
tachycardia, flush, hyperglycemia, hypokalemia
68
What are some contraindications for Beta-Adrenergic Agents?
diabetic, cardiovascular disease
69
What are some S/E of Calcium Antagonist?
decreased DTR, respiratory depression, hypotension, increased HR, blurred vision, decreased GI action.
70
What are some contraindications for Calcium Antagonist?
impaired kidney function, myocardial infarction.
71
What are some S/E of calcium-channel blockers?
orthostatic hypotension, increased maternal/fetal heart rate
72
What are some S/E of Indocin?
abnormal bleeding, rash, N/V, heartburn (mother) | pulmonary hypertension, oligohydramnios (fetus)
73
What are some S/E of corticosteroids?
HA, hypertension, hyperglycemia, edema, hypersensitivity reactions
74
What are some Nursing interventions to corticosteroids?
monitor VS and lung sounds, inject in large muscle, monitor glucose levels.
75
What are some risk factors for Preeclampsia?
first pregnancy, DM, obesity, multifetal pregnancy, anemia
76
What are some symptoms of Preeclampsia?
HA, blurred vision, proteins in urine, edema, increased Cr levels, hypertension, decreased urine output, stomach pain (impending seizure).
77
What are some S/E of Apresoline and Aldomet?
peripheral edema, tachycardia, palpitations, nasal congestion.
78
What are some nursing interventions for Apresoline and Aldomet?
monitor BP, monitor changes in LOC, monitor I/Os, monitor FHR.
79
Why not give Diuretics or Angiotensin converting enzymes to a preeclampsia patient?
alters plasma volume and potential fetal renal toxicity.
80
What are some nursing interventions before regional pain management?
Prehydrate, monitor FHT, assess maternal VS, assess LOC, equip at bedside.
81
What are some nursing interventions after regional pain management?
displace uterus to the left, BP Q5minutes for 15 minutes, insert foley catheter, assess for reactions.
82
What are some indications for inducing labor?
gestational hypertension, intrauterine fetal death, maternal renal disease.
83
What are some contraindications for inducing labor?
hemorrhage or previous c-section

Pharmacology (Semester 2) (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions