Flashcards in Pharmacology Test Seven (Final Exam) Deck (207)
During pregnancy, women require 27 mg/day (normally it’s 18 mg/day). Not necessary usually until 2nd trimester. Goal is to prevent maternal iron deficiency anemia.
Prevents neural tube defects
Can be used to control pain during pregnancy and can be used all throughout pregnancy on short term basis
acetaminophen (Tylenol) and ASA
What are Uterine Stimulants-Oxytocics used for in labor and delivery?
What are Tocolytics used for in labor and delivery?
What is magnesium used for in labor and delivery?
Slow labor down
What are opioids used for in labor and delivery?
What is Ethinyl estradiol and drospirenone (Yasmin) classified as?
Oral Contraception – ethinyl estradiol and drospirenone
Action for Yasmin
Side effects for Yasmin
No protection against STDs, no barrier to microbes. Has cardiovascular risk, DVT, thrombolism if combined with smoking
Nursing for Yasmin
Needs prescription, may be expensive, must be taken as prescribed in order to be effective
What is Estrogen HRT:
Conjugated equine estrogen (Premarin)
Action for Premarin
Used to treat moderate to severe menopause symptoms i.e. hot flashes, osteoporosis
Side effects for Premarin
Fluid retention, nausea, vomiting, breast tenderness, depression, thromboembolus, increase in cancers, endometrial cancers
Nursing for Premarin
Try to use lowest possible dose for shortest amount of time.
What is Oxytocin (Pitocin) classified as?
Uterine smooth muscle stimulant
Action for Pitocin
Ovulation stimulant and uterine smooth muscle contractor
Side effects for Pitocin
Tachycardia, premature ventricular contractions, hypotension, nausea, vomiting.
Nursing for Pitocin
Monitor vitals, notify physician of abnormal contractions, check for blood loss
What is the classification for Terbutaline (Brethine)?
Premature labor inhibitor
Action for Brethine
Inhibits uterine contractions
Side effects for Brethine
Tremors, anxiety, drowsiness, headache, nausea, dizziness
Nursing for Brethine
Offer emotional support, assess vitals, observe for cyanosis
Classification for Clomiphene citrate (Clomid)
Action for Clomid
Binds with estrogen and makes body produce more estrogen. Stimulates ovulation.
Side effects for Clomid
Breast discomfort, depression, fluid retention, vision disturbances, weight gain, ectopic pregnancy
Nursing for Clomid
Used for women who wish to become pregnant
Classification for Raloxifene (Evista)
Action for Evista
Binds to estrogen receptors, increasing bone mineral density