OB Pharmacology

Question 1

Meds to slow contractions

Answer 1

Terbutaline
Magnesium-sulfate

Question 2

Magnesium sulfate

Indication?

Nsg onsideration

Answer 2

Pre-eclampsia, preterm

GIVE SLOWLY, get regulat serum magnesium level

Question 3

Induces labor
Helps with postpartum hemorrhage
*however, contractions will be more paindul
MUST BE GIVEN PIGGYBACK IV

Answer 3

OXYTOCIN

Question 4

What does prostaglandins do

Answer 4

Ripen cervix

Question 5

Give names of prostaglandins

Answer 5

Misoprostol
Dinoprostone

Question 6

E1 analouge

Also use for stomach ulcers
Induction of labor
Elective pregnaancy termination

Affects uterine contractions, fetal HR
Can be given SL or vaginally
Increase risk of uterine contractions

S/E: diarrhea, stomach cramps

Answer 6

MISOPROSTOL

Question 7

Induction of labor
Elective termination
Uterine to contract, cervical dilation

Given as vaginal gel or suppository

Answer 7

DINOPROSTOL

Question 8

Natural pain control methods (OB)

Answer 8

Hypnobirthing
Hydrotheraphy
Touch therapy
Movement
Positioning
Breathing

Question 9

Regional anesthesia
Blocks most of pain
It is a catheter placed in lower spines and slows pain signal travelling through spine,
SHould be monitored very closely
Can cause hypotension very quickly
Common side effects: back itching
Adverse effects: Spinal headache (accidental puncture - will need epidural bad patcha avoids fluid from leaking works well)

Answer 9

Epidural

Question 10

Typically used pain contro during planned C-section

S/e and adverse effects same as epidural

Answer 10

Spinal block

Question 11

Reserved for energency situations
Delays breatf eeding
Risk: inability to place (increase pneumonia/lung infection), anesthetic medication tocivity, rep depression, fetal lethargy, longer hosp stay)

Answer 11

General anesthesia