Flashcards in Quiz 3 Deck (33):
Which vitamins can potentially cause toxicity to a fetus?
4. Vit A
5. Vit B6
6. Vit C
7. Vit D
When do you use Cervidil & what do you monitor, ADRs?
Initiation or continuation of cervical ripening in Pts at or near term
Monitor uterine activity & fetal HR
1. Uterine tachysystole
2. Hyperstimulation w/ preexisting spontaneous labor
-inc. fetal compromise
When is Misoprostol used & ADRs?
Relax smooth muscle of cervix
1. Uterine tachysystole
2. Uterine rupture - MC w/ previous C-section
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
1. Uterine rupture
2. Vasopressin-like effect - water intoxication
Why would you use Penicillin during delivery?
Get rid of Group B Strep so it isn't passed to the baby
Why do you give Erythromycin to newborns?
Prevent Gonococcal ophthalmia neonatorum
When do you give caffeine citrate?
Apnea of prematurity
When do you use Survanta?
Kid at risk of RDS
Origins of insulin
3. E. coli
Rapid-acting insulin, onset, peak & duration
O - 5
P - 30-60
D - 3-5h
Given w/ meals
Short-acting insulin, onset, peak & duration
2. Novolin R
O - 30
P - 2-5h
D - 5-8h
Take before meals
Intermediate insulin, onset, peak & duration
O - 1-2h
P - 6-8h
D - 10-12h
Long acting insulin, peak & duration
D - 24h
How do you dose insulin?
Half dose as Lantus
Other half as regular insulin given before meals
Contraindications to Metformin?
1. Renal impairment
M SCR >1.5, F >1.4
3. Uncontrolled respiratory disease
How do Sulfonylureas work & ADRs?
Secretagogues - inc. amount of insulin being secreted
1. Liver issues
2. Fluid retention
Caution w/ Class I & II HF
DON't use w/ III or IV
ADRs dpp-iv inhibitors
3. Allergic reactions
Dose in renal impairment, CYP3A4
ADRs glp-1 receptor agonists
Victoza - SubQ
2. Delay in gastric emptying time
3. Renal failure & acute renal failure
ADRs sglt2 inhibitor
2. Hyperkalemia (Careful w/ K-sparing diuretics)
3. Infections - UTI
4. Inc. LDL
ADRs meglitinide analogs
2. Weight gain
ADRs alpha-glucosidase inhibitor
2. Abdominal pain
2. Nausea, skin pigmentation, parethesias, joint pain/stiffness, hepatitis, nephritis
Risk factors - rule of forties - dose >40 & Pt >40
When should you check TSH?
35 & q5y after
What drug only has T3?
When should you test TSH after Synthroid therapy?
q6-8 wks until stable then q6-12 months
How much does 1 grain of amour thyroid equal in Synthroid?
What are the nonsteroidal compounds with estrogenic properties?
3. Coumestan derivatives
Other than hormones, what drug is used for menopause?
Paxil to control vasomotor Sx
When should you start estrogen therapy in a menopausal woman?
Soon after onset of menopause
Estrogens for menopause?
3. Estradiol transdermal patch