Flashcards in Quiz 3 Reverse Deck (33):
1. Iron2. Zinc3. Selenium4. Vit A5. Vit B66. Vit C7. Vit D
Which vitamins can potentially cause toxicity to a fetus?
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?
Prostaglandin E1 Relax smooth muscle of cervix1. Uterine tachysystole2. Uterine rupture - MC w/ previous C-section
When is Misoprostol used & ADRs?
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?
1. Uterine rupture2. Vasopressin-like effect - water intoxication
Get rid of Group B Strep so it isn't passed to the baby
Why would you use Penicillin during delivery?
Prevent Gonococcal ophthalmia neonatorum
Why do you give Erythromycin to newborns?
Apnea of prematurity
When do you give caffeine citrate?
Kid at risk of RDS Replaces surfactant
When do you use Survanta?
1. Bovine2. Porcine3. E. coli
Origins of insulin
1. Humalog2. Novolog3. ApidraO - 5 P - 30-60D - 3-5hGiven w/ meals
Rapid-acting insulin, onset, peak & duration
Regular insulin1. Humilin2. Novolin RO - 30 P - 2-5hD - 5-8hTake before meals
Short-acting insulin, onset, peak & duration
1. NPHO - 1-2hP - 6-8hD - 10-12h
Intermediate insulin, onset, peak & duration
1. Lantus2. LevemirNO PEAKD - 24h
Long acting insulin, peak & duration
0.3-0.8 U/kg Half dose as LantusOther half as regular insulin given before meals
How do you dose insulin?
1. Renal impairmentM SCR >1.5, F >1.42. HF3. Uncontrolled respiratory disease
Contraindications to Metformin?
Secretagogues - inc. amount of insulin being secreted1. HA2. Nausea3. Hypoglycemia
How do Sulfonylureas work & ADRs?
1. Liver issues2. Fluid retentionCaution w/ Class I & II HFDON't use w/ III or IV
Januvia1. Nasopharyngitis2. URI3. Allergic reactions Dose in renal impairment, CYP3A4
ADRs dpp-iv inhibitors
Victoza - SubQ1. GI 2. Delay in gastric emptying time 3. Renal failure & acute renal failure
ADRs glp-1 receptor agonists
1. HOTN2. Hyperkalemia (Careful w/ K-sparing diuretics)3. Infections - UTI4. Inc. LDL
ADRs sglt2 inhibitor
Prandin 1. Hypoglycemia2. Weight gain
ADRs meglitinide analogs
Precose1. Diarrhea2. Abdominal pain3. Flatulence
ADRs alpha-glucosidase inhibitor
1. Agranulocytosis2. Nausea, skin pigmentation, parethesias, joint pain/stiffness, hepatitis, nephritis Risk factors - rule of forties - dose >40 & Pt >40
35 & q5y after
When should you check TSH?
What drug only has T3?
q6-8 wks until stable then q6-12 months
When should you test TSH after Synthroid therapy?
How much does 1 grain of amour thyroid equal in Synthroid?
1. Flavones2. Isoflavones3. Coumestan derivatives
What are the nonsteroidal compounds with estrogenic properties?
Paxil to control vasomotor Sx
Other than hormones, what drug is used for menopause?
Soon after onset of menopause
When should you start estrogen therapy in a menopausal woman?
1. PremPro2. Premarin3. Estradiol transdermal patch
Estrogens for menopause?