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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
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tertogens?
most vulnerable time?
potential consequences?
- things that cross the placenta that harms the fetus
- first trimester
- deformities, or abortion symptoms
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medication that caused limb deformities
thalamide- x category
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therapeutic drug herbal use
what do we use to treat common complaints
good drugs bad drugs.jQuery110105165500114671886_1505267882208
- 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
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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
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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
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pre term labor and delivery- weeks, maternal risk factors, non-pharmacological therapy,
- 20-37 weeks
- underlying illness, preclamsya, placental problems
- bed rest, reduce activities,
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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
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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
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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
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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
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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
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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
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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.
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drugs for newborn-
- thrythomycin (eye ointment)
- vitamin K
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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,
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vitamin K phytonadione (aqua-mephyton)- why do this, how is it given, SE
- given to give baby for clotting
- im injection
- SE- local rxn
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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
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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
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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
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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
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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
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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)
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bisphosphonates- sufix, drug name,
dronate,
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Viagra- sufix, inhibitor of what, action, contraindications, SE/ AVR
afil
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