Pregnancy and Supportive Care

  1. What supplements are needed for prenatal care?
    • Iron: ↑ maternal blood volume expansion for cord needs and loss at birth
    • Folate: ↓ neural tube defects
    • Calcium: mineralization of fetal skeleton and teeth
    • Omega-3 FA: supports brain and eye development
  2. What are the non-pharmacological tx for morning sickness?
    • Eat small, dry meals that are high in carbs and low in fat
    • Avoid precipitating factors (smells, sights, etc.)
    • Shorter workdays and more naps
  3. What drugs are used for morning sickness?
    • Metoclopromide
    • Meclizine
    • 1st gen antihistamines
    • Ondansetron
    • Promethazine (c)
    • Prochlorperazine (c)
    • Vitamin B6, B12
    • Ginger root
    • PremesisRx
    • Accupuncture
  4. What SE does Metoclopromide now have a black box warning for?
    tardive dyskinesia
  5. What is the DOC for morning sickness in many countries?
    Metoclopromide
  6. What is the tx for Hyperemesis gravidarium?
    • IV fluids
    • Sedatives
    • Antiemetics
    • Enteral or Parenteral nutrition may be needed
  7. What is the non-pharmacological tx for constipation in pregnancy?
    • Increase activity
    • Increase fluids
    • Increase fruits, vegetables, and whole grains
  8. What is the tx for constipation in pregnancy?
    • Metamucil
    • Citrucel
    • Bisacodyl
    • Senna (c)
    • Docusate (c)
    • PEG (c) (use for chronic constipation in Pg)
    • MOM (low doses and occasional use only)
  9. What is the non-pharmacological tx for GERD in pregnancy?
    • Eat small, frequent meals
    • Avoid meals close to bedtime
    • Avoid caffeine, alcohol, nicotine, salicylates
    • Elevate the head of the bed
  10. What is the tx for GERD in pregnancy?
    • Antacids (DOC) (avoid Mg in later Pg - may slow or stop labor or cause convulsions)
    • Sucralfate
    • H2RA and PPI are last line (esp. Nizatidine and Omeprazole)
  11. What is the tx for HTN in pregnancy?
    • Methyldopa (DOC)
    • Labetalol (3rd trimester data)
    • Nifedipine (1st or 2nd line)
  12. What is the prophylaxis for pre-eclampsia in pregnant women at risk?
    • ASA 81mg/d
    • Calcium 1g/d (if low dietary Ca)
  13. What is the tx for pre-eclampsia?
    Mg sulfate
  14. What is the tx for eclampsia?
    Mg sulfate to all pre-eclamptic women during labor and 12-24 hrs post-partum
  15. What is the tx for VTE in pregnancy?
    • LMWH (DOC)
    • Unfractionated heparin (c)
    • DO NOT use Warfarin
  16. What is the tx for antenatal depression?
    • SSRI (except paroxetine)
    • TCA
  17. What is the best resource for drug use in pregnancy?
    Drug in Pregnancy and Lactation
Author
giddyupp
ID
78239
Card Set
Pregnancy and Supportive Care
Description
Pregnancy and Supportive Care
Updated