1. pregnancy physiology- role of placenta, medication use
    • pass o2, nutrients, blood, drugs, antibodies
    • no medication use should be the goal. take meds if needed under physician supervision
  2. tertogens?
    most vulnerable time?
    potential consequences?
    • things that cross the placenta that harms the fetus
    • first trimester
    • deformities, or abortion symptoms
  3. medication that caused limb deformities
    thalamide- x category
  4. therapeutic drug herbal use
    what do we use to treat common complaints
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    • should not use any herbs- or consult with physician or someone knowledgeable
    • ginger is used to treat common complaints
    • drugs may be good for mom but affect the child
  5. iron- why is extra needed, iron rich foods, when to begin, administration, SE/AVR
    • baby takes all nutrients from mom so more iron is needed and for better blood flow and for mom not to become anemic
    • pastas, brocoli, liver
    • 2nd trimester
    • oral- elixir or caps- better absorbed on empty stomach. may cause GI discomforts, better in combination with vitamin C
    • constipation, dark stools
  6. Folic acid- what type of vitamin, when to begin taking it, prevents what, foods rich in folic acid
    • B9 vitamin
    • before pregnancy or as soon as you know you are pregnant
    • neural tube defects or spina bifida
    • pastas, brocoli, breads,and cereals
  7. pre term labor and delivery- weeks, maternal risk factors, non-pharmacological therapy,
    • 20-37 weeks
    • underlying illness, preclamsya, placental problems
    • bed rest, reduce activities,
  8. tycolytic therapy (4)
    • therapy to help postpone birth
    • give medication to try and stop uterine contractility
    • to give medication for fetal lung maturation
    • to try and transport mom to the right facility
    • to allow fetus to develop longer in the womb
  9. magnesium sulfate- what choice is it?what is it.?how does it work? what does it do? SE/AVR, nursing interventions
    • 1st choice drug to try and stop contractions
    • calcium antagonist
    • competes with calcium for entry into the 
    • relaxes uterine smooth muscles
    • SE-AVR- warmth, flushing, dizziness, lethargy, nasal congestion
    • AVR- decreased reflexes, neuro confusion, cardiac and respiratory depression
    • use an infusion pump, monitor mom and baby closely, Mg levels be as ordered, assess DTR's calcium gluconate antidote
  10. corticosteroid thereapy- who is it for, name of drug, action, decrease severity in what, increase or decrease baby survival rate, best effects if given when, not effective when?
    • It is for babies
    • betamethasone
    • it is for the maturation of the fetal lungs
    • decreases severity in RDS
    • increases baby survival rate
    • best effects if given 48 before delivery
    • not effective after birth
  11. surfactant therapy in preterm birth- synthetic surfactant (3), what does surfactant do, used for what, administration
    • after baby is born
    • beractant, calfactant, poractant
    • prevents the collapse of the alveoli
    • used for RDS or reduce severity
    • ET tube and positioning of neonate
  12. drugs that enhance uterine contractility- name, stimulate what, name of drug, uses, action, administration, SE & AVR
    • uterotropic, oxytocic
    • stimulate uterine contraction
    • Oxytocin (pitocin)
    • used for induction or augment ion and used post partum to keep uterus contracting which prevent bleeding
    • iv, intranasal for lactation (in other countries) high alert med
    • SE/AVR- hr drops
  13. post partum and newborn drugs- review routine meds, herbal during lactation
    • meds for pain, and bowel function
    • do not use herbal meds, talk to lactation consultant
  14. immunizations for mom- drug name, trade name, action, risk in what, administration (4), SE/AVR, RUBELLA?
    • Rh D immune globulin
    • RhoGAM
    • moms with rh neg and baby with rh pos-risk for rh sensitization in mom mom receives vaccine to try and prevent her from making antibodies against the rh pos- future babies have a risk of hemolytic problems
    • risk of hemolytic problems in future babies- may make antibodies against babies
    • 26-28 weeks, 72 hrs prior delivery, after abortion (aminocentises), give IM in deltoid
    • SE/AVR- redness in area
    • if mom has rubella it can be very bad for baby.
  15. drugs for newborn-
    • thrythomycin (eye ointment)
    • vitamin K
  16. erythromycin eye ointment- why given, how is it given, SE
    • used to prevent ghonorrhea of the eye or STDS
    • Ointment form
    • SE- local runs and redness,
  17. vitamin K phytonadione (aqua-mephyton)- why do this, how is it given, SE
    • given to give baby for clotting
    • im injection
    • SE- local rxn
  18. immunizations for baby-what vaccine, give when (4)(what if mom is positive), requires consent, where do we give I'm injection
    • Heb B
    • give injection to baby regardless of mom Heb-B status (first dose 12 hrs, next 1-2 months, final dose 6 mo) if mom positive may not have a choice and may need to vaccinate baby no matter what
    • requires connect
    • I'm injections given in the vastes laterals
  19. combined oral contraception products- which are the combined dugs, action, effectiveness, various combinations, SE&AVR, interactions w/ other drugs, extended cycle and continuing dosing, other forms, how does the provider decide what to prescribe?
    • estrogen and progestin
    • they make the body think that the person is pregnant or make the lining too thin that a pregnancy cannot be carried out
    • very effective if taken on time
    • various combinations in which pt can work with provider to pick the right medication 
    • decreased hormones, nausea, weight gain, CV issues, increased clotting
    • antibiotics decrease the effectiveness of birth control
    • oral med, implants, injectables
    • provider works with pt to decide which one is best for pt to use
  20. progestin only contraception- advantages/ disadvantages, mini pill, drug name (4), another drug
    • you don't have the discomforts that the estrogen causes/ not as effective
    • smaller dose- not as effective in preventing pregnancies
    • Depo provera- people that forget to take the medication, it last 3 mo, its a shot- deltoid, local effects, SE of hormone
    • Nuva ring- inserted three weeks and taken out 1 week- implantable
  21. Depo provera- who benefits, how long does it last, administration techniques, SE/ precautions
    • people that forget to take the medication
    • it last 3 mo
    • its a shot- deltoid
    • local effects, SE of hormone
  22. Menopause- hormone therapy, benefits, risks, CAM (what does evidence say), HRT
    • benefits- someone very symptomatic and discomforts (hotflashes)
    • risk of great cancer
    • CAM- evidence does not show that things are helpful or other supplements help
    • HRT- Estrogen only (Premarin)- women who had uterus removed, estrogen/progestin, risks- bread cancer
  23. osteoporosis- why does it happen, who are at risks, how to prevent, medications
    • bone structurally changes as we age, more accelerated in some people
    • fractures are the risk
    • prevention starts in childhood, activities, good diet, bone layer down at childhood and teen yrs
    • bisphosphonates- alendronate (Fosfomax) this can help slow loss of bone and may help increase bone density; taking specifics- upright stay up take first thing i the morning on empty stomach do not drink or eat anything in an hr stay up right
    • SERMS- reloxifene (Evista)
  24. ostoporosis meds
    • bisphosphonates
    • serms
  25. bisphosphonates- sufix, drug name,
  26. SERMS
  27. Viagra- sufix, inhibitor of what, action, contraindications, SE/ AVR
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