Quiz 3 Flashcards Preview

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Flashcards in Quiz 3 Deck (33):
1

Which vitamins can potentially cause toxicity to a fetus?

1. Iron
2. Zinc
3. Selenium
4. Vit A
5. Vit B6
6. Vit C
7. Vit D

2

When do you use Cervidil & what do you monitor, ADRs?

Prostaglandin E2
Initiation or continuation of cervical ripening in Pts at or near term

Monitor uterine activity & fetal HR

ADRs
1. Uterine tachysystole
2. Hyperstimulation w/ preexisting spontaneous labor
-inc. fetal compromise

3

When is Misoprostol used & ADRs?

Prostaglandin E1
Relax smooth muscle of cervix

1. Uterine tachysystole
2. Uterine rupture - MC w/ previous C-section

4

When do you use Oxytocin?

1. Induction of labor in Pts w/ a medical condition
2. Stimulation or reinforcement of labor
3. Adjunctive therapy in mgmt of abortion
4. Production of uterine contractions during the 3rd stage of labor
5. Control of postpartum bleeding

5

ADRs Oxytocin

1. Uterine rupture
2. Vasopressin-like effect - water intoxication

6

Why would you use Penicillin during delivery?

Get rid of Group B Strep so it isn't passed to the baby

7

Why do you give Erythromycin to newborns?

Prevent Gonococcal ophthalmia neonatorum

8

When do you give caffeine citrate?

Apnea of prematurity

9

When do you use Survanta?

Kid at risk of RDS
Replaces surfactant

10

Origins of insulin

1. Bovine
2. Porcine
3. E. coli

11

Rapid-acting insulin, onset, peak & duration

1. Humalog
2. Novolog
3. Apidra

O - 5
P - 30-60
D - 3-5h

Given w/ meals

12

Short-acting insulin, onset, peak & duration

Regular insulin
1. Humilin
2. Novolin R

O - 30
P - 2-5h
D - 5-8h

Take before meals

13

Intermediate insulin, onset, peak & duration

1. NPH

O - 1-2h
P - 6-8h
D - 10-12h

14

Long acting insulin, peak & duration

1. Lantus
2. Levemir

NO PEAK
D - 24h

15

How do you dose insulin?

0.3-0.8 U/kg

Half dose as Lantus
Other half as regular insulin given before meals

16

Contraindications to Metformin?

1. Renal impairment
M SCR >1.5, F >1.4
2. HF
3. Uncontrolled respiratory disease

17

How do Sulfonylureas work & ADRs?

Secretagogues - inc. amount of insulin being secreted

1. HA
2. Nausea
3. Hypoglycemia

18

ADRs Thiazolidinediones

1. Liver issues
2. Fluid retention
Caution w/ Class I & II HF
DON't use w/ III or IV

19

ADRs dpp-iv inhibitors

Januvia

1. Nasopharyngitis
2. URI
3. Allergic reactions

Dose in renal impairment, CYP3A4

20

ADRs glp-1 receptor agonists

Victoza - SubQ

1. GI
2. Delay in gastric emptying time
3. Renal failure & acute renal failure

21

ADRs sglt2 inhibitor

1. HOTN
2. Hyperkalemia (Careful w/ K-sparing diuretics)
3. Infections - UTI
4. Inc. LDL

22

ADRs meglitinide analogs

Prandin

1. Hypoglycemia
2. Weight gain

23

ADRs alpha-glucosidase inhibitor

Precose

1. Diarrhea
2. Abdominal pain
3. Flatulence

24

ADRs Methimazole

1. Agranulocytosis
2. Nausea, skin pigmentation, parethesias, joint pain/stiffness, hepatitis, nephritis

Risk factors - rule of forties - dose >40 & Pt >40

25

When should you check TSH?

35 & q5y after

26

What drug only has T3?

Cytomel

27

When should you test TSH after Synthroid therapy?

q6-8 wks until stable then q6-12 months

28

How much does 1 grain of amour thyroid equal in Synthroid?

100 mcg

29

What are the nonsteroidal compounds with estrogenic properties?

1. Flavones
2. Isoflavones
3. Coumestan derivatives

30

Other than hormones, what drug is used for menopause?

Paxil to control vasomotor Sx

31

When should you start estrogen therapy in a menopausal woman?

Soon after onset of menopause

32

Estrogens for menopause?

1. PremPro
2. Premarin
3. Estradiol transdermal patch

33

What is Medroxyprogesterone used for?

1. Endometriosis
2. Abdominal uterine bleeding