Flashcards in Pharmacology Test Seven (Final Exam) Deck (207)
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1
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.
Iron
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Prevents neural tube defects
Folic acid
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Can be used to control pain during pregnancy and can be used all throughout pregnancy on short term basis
acetaminophen (Tylenol) and ASA
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What are Uterine Stimulants-Oxytocics used for in labor and delivery?
induce labor
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What are Tocolytics used for in labor and delivery?
stop labor
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What is magnesium used for in labor and delivery?
Slow labor down
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What are opioids used for in labor and delivery?
Pain relief
8
What is Ethinyl estradiol and drospirenone (Yasmin) classified as?
Oral Contraception – ethinyl estradiol and drospirenone
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Action for Yasmin
Prevent pregnancy
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Side effects for Yasmin
No protection against STDs, no barrier to microbes. Has cardiovascular risk, DVT, thrombolism if combined with smoking
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Nursing for Yasmin
Needs prescription, may be expensive, must be taken as prescribed in order to be effective
12
What is Estrogen HRT:
Conjugated equine estrogen (Premarin)
classified as?
Conjugated estrogen
13
Action for Premarin
Used to treat moderate to severe menopause symptoms i.e. hot flashes, osteoporosis
14
Side effects for Premarin
Fluid retention, nausea, vomiting, breast tenderness, depression, thromboembolus, increase in cancers, endometrial cancers
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Nursing for Premarin
Try to use lowest possible dose for shortest amount of time.
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What is Oxytocin (Pitocin) classified as?
Uterine smooth muscle stimulant
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Action for Pitocin
Ovulation stimulant and uterine smooth muscle contractor
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Side effects for Pitocin
Tachycardia, premature ventricular contractions, hypotension, nausea, vomiting.
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Nursing for Pitocin
Monitor vitals, notify physician of abnormal contractions, check for blood loss
20
What is the classification for Terbutaline (Brethine)?
Premature labor inhibitor
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Action for Brethine
Inhibits uterine contractions
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Side effects for Brethine
Tremors, anxiety, drowsiness, headache, nausea, dizziness
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Nursing for Brethine
Offer emotional support, assess vitals, observe for cyanosis
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Classification for Clomiphene citrate (Clomid)
Estrogen antagonist
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Action for Clomid
Binds with estrogen and makes body produce more estrogen. Stimulates ovulation.
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Side effects for Clomid
Breast discomfort, depression, fluid retention, vision disturbances, weight gain, ectopic pregnancy
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Nursing for Clomid
Used for women who wish to become pregnant
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Classification for Raloxifene (Evista)
Osteoporosis preventive
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Action for Evista
Binds to estrogen receptors, increasing bone mineral density
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