Shared Flashcard Set

Details

859-III
Corticosteroids for PTL
12
Nursing
Graduate
02/04/2012

Additional Nursing Flashcards

 


 

Cards

Term
Why are corticosteroids given to women experiencing preterm labor?
Definition
They assist with fetal lung maturation
Term

True or false:

 

A single course of steroids is the standard of care in women at risk for preterm birth

Definition

True

 

It has been the standard since 1994

Term
What are some contraindications to antenatal corticosteroids?
Definition

Active untreated infection

 

Traumatic brain injury

 

Hypersensitivity

Term
Corticosteroid mechanism of action
Definition

1. Enhance maturational changes in lung architecture and accelerate morphologic development of fetal alveolar cells

 

2. Regulate enzymes that stimulate phospholipid synthesis and the release of surfactant

 

 

Term
What is the correct dosage/route of betamethasone?
Definition

12 mg IM

 

2 doses gievn 24 hrs. apart

Term
What is the correct dosage/route of dexamethasone?
Definition

6 mg IM

 

4 doses given 12 hrs apart

Term

True or false:

 

Adverse effects are LIKELY with antenatal corticosteroid use

Definition

False, adverse effects are rare with such short-term administration

 

Possible adverse effects include: restlessness, HTN, hyperglycemia, anorexia, n/v, hypokalemia, increased susceptibility to infection

Term
What are some benefits of antenatal corticosteroid use?
Definition

Reduced risk of:

1. Neonatal death

2. Resp. distress syndrome

3. Intraventricular hemorrhage

4. Nectrotizing enterocolitis

5. Early sepsis

Term
Is there any association with a single course of steroids and adverse neonatal events?
Definition
NO
Term
What is the effect of corticosteroids on maternal glucose?
Definition

1. Increased glucose intolerance

 

2. Transient hyperglycemia

Term
When corticosteroids are combined with tocolytics, pregnant women may be predisposed to _________   ________
Definition
Pulmonary edema
Term
What are the recommendations from ACOG and UpToDate regarding women at risk for preterm delivery? 
Definition

1. ACOG says all women at risk between 26 and 34 wks should receive a course of steroids

 

2. UpToDate says all women at risk of delivering in the next 7 days should receive a course of steroids. They also recommend them for women with PPROM between 24 and 32 wks.

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