Quiz 3 Reverse Flashcards Preview

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Flashcards in Quiz 3 Reverse Deck (33):
1

1. Iron2. Zinc3. Selenium4. Vit A5. Vit B66. Vit C7. Vit D

Which vitamins can potentially cause toxicity to a fetus?

2

Prostaglandin E2Initiation or continuation of cervical ripening in Pts at or near term Monitor uterine activity & fetal HRADRs1. Uterine tachysystole2. Hyperstimulation w/ preexisting spontaneous labor-inc. fetal compromise

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

3

Prostaglandin E1 Relax smooth muscle of cervix1. Uterine tachysystole2. Uterine rupture - MC w/ previous C-section

When is Misoprostol used & ADRs?

4

1. Induction of labor in Pts w/ a medical condition2. Stimulation or reinforcement of labor3. Adjunctive therapy in mgmt of abortion4. Production of uterine contractions during the 3rd stage of labor5. Control of postpartum bleeding

When do you use Oxytocin?

5

1. Uterine rupture2. Vasopressin-like effect - water intoxication

ADRs Oxytocin

6

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

Why would you use Penicillin during delivery?

7

Prevent Gonococcal ophthalmia neonatorum

Why do you give Erythromycin to newborns?

8

Apnea of prematurity

When do you give caffeine citrate?

9

Kid at risk of RDS Replaces surfactant

When do you use Survanta?

10

1. Bovine2. Porcine3. E. coli

Origins of insulin

11

1. Humalog2. Novolog3. ApidraO - 5 P - 30-60D - 3-5hGiven w/ meals

Rapid-acting insulin, onset, peak & duration

12

Regular insulin1. Humilin2. Novolin RO - 30 P - 2-5hD - 5-8hTake before meals

Short-acting insulin, onset, peak & duration

13

1. NPHO - 1-2hP - 6-8hD - 10-12h

Intermediate insulin, onset, peak & duration

14

1. Lantus2. LevemirNO PEAKD - 24h

Long acting insulin, peak & duration

15

0.3-0.8 U/kg Half dose as LantusOther half as regular insulin given before meals

How do you dose insulin?

16

1. Renal impairmentM SCR >1.5, F >1.42. HF3. Uncontrolled respiratory disease

Contraindications to Metformin?

17

Secretagogues - inc. amount of insulin being secreted1. HA2. Nausea3. Hypoglycemia

How do Sulfonylureas work & ADRs?

18

1. Liver issues2. Fluid retentionCaution w/ Class I & II HFDON't use w/ III or IV

ADRs Thiazolidinediones

19

Januvia1. Nasopharyngitis2. URI3. Allergic reactions Dose in renal impairment, CYP3A4

ADRs dpp-iv inhibitors

20

Victoza - SubQ1. GI 2. Delay in gastric emptying time 3. Renal failure & acute renal failure

ADRs glp-1 receptor agonists

21

1. HOTN2. Hyperkalemia (Careful w/ K-sparing diuretics)3. Infections - UTI4. Inc. LDL

ADRs sglt2 inhibitor

22

Prandin 1. Hypoglycemia2. Weight gain

ADRs meglitinide analogs

23

Precose1. Diarrhea2. Abdominal pain3. Flatulence

ADRs alpha-glucosidase inhibitor

24

1. Agranulocytosis2. Nausea, skin pigmentation, parethesias, joint pain/stiffness, hepatitis, nephritis Risk factors - rule of forties - dose >40 & Pt >40

ADRs Methimazole

25

35 & q5y after

When should you check TSH?

26

Cytomel

What drug only has T3?

27

q6-8 wks until stable then q6-12 months

When should you test TSH after Synthroid therapy?

28

100 mcg

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

29

1. Flavones2. Isoflavones3. Coumestan derivatives

What are the nonsteroidal compounds with estrogenic properties?

30

Paxil to control vasomotor Sx

Other than hormones, what drug is used for menopause?

31

Soon after onset of menopause

When should you start estrogen therapy in a menopausal woman?

32

1. PremPro2. Premarin3. Estradiol transdermal patch

Estrogens for menopause?

33

1. Endometriosis2. Abdominal uterine bleeding

What is Medroxyprogesterone used for?