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Pass Naplex Now Book II > Pregnancy > Flashcards

Flashcards in Pregnancy Deck (12):
1

Pregnancy Classification

- A
- B
- C
- D
- X

A
- Well controlled human study

B
- Animal studies: no risk
- Human studies: inadequate or animal studies show some risk

C
- Animal studies: some risk
- Human studies: inadequate or lacking

D
- Human studies: definite fetal abnomalities
- Potential benefits may outweigh the risks

X
- CI due to fetal abnormalities

2

Management of N/V

- No large meals, no spicy food
- Have small, frequent, bland diet meals
- Vit B6 (Pyridoxime) IM or PO
- OTC benadryl or dramamine (preg cat B)
- 5HT3 inhibitors:
Ondansetron (Zofran)
Dolasetron (Anzemet)
Granisetron (Kytril)
Palonosetron (Aloxil)

3

Management of low back pain, HA

- Tylenol is DOC
- NSAIDs:
Cat B: in 1 and 2 trimester
Cat D: in 3 trimester

4

GERD management in pregnancy

Lifestyle/dietary modification
- Small meals
- No acidic foods
- No food 3H b/4 sleep
- Elevate head of bed

- Antacids: alginate
- H2 antagonist
- PPI
Cat B except Prilosec (Cat C)

5

Constipation in Pregnancy

- Fluid and fiber intake
- Milk of Magnesium
- Senna and Bisacodyl (Duclolax): Preg Cat C

6

Pregnancy Rhinitis

- Saline nasal spray (Cat A)
- Antihistamine: Cat B
- Nasal decongestions: Afrin, Neo-Synephrine (Cat C)

7

UTI during pregnancy

Macrobid (Cat B)
- CI in near term (38-42 wks), during labor and delivery

Near term
- Keflex PO for UTI
- Pyelonephritis: Ancef, Rocephin IV
- Bactrim, Quinolones: Preg cat C

8

Preeclampsia
Eclampsia

- Cure: deliver ASAP
- If not: Mg sulfate IV to prevent sz
Watch for resp depression

9

Zofran

Odansertron

10

Anzemet

Dolasetron

11

Kytril

Granisetron

12

Aloxil

Palonosetron