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Pregnancy and Lactation
PATHO
47
Other
Professional
10/08/2011

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Cards

Term
First day of last menstrual period until birth
Definition
gestational age
Term
gestational age + post natal days
Definition
post menstrual age
Term
What weeks of pregnancy is a mischarge most likely to happen?
Definition
1-2
Term
What weeks of pregnancy have the highest risk for abnormalities
Definition
3-9
Term
drug or environmental agent with potential to cause abnormal fetal growth development
Definition
teratogen
Term
What is the dose of iron that should be taken to prevent anemia
Definition
Ferrous sulfate 325 mg (65mg elemental)
Term
What does folic acid prevent?
Definition
neural tube defects
Term
When should you begin taking folic acid
Definition
3 months before pregnancy
Term
Dosage of folic acid
Definition
0.4 mg
up to 4 mg for people with epilepsy, previous neural tube defect birth, diabetes
Term
What happens to the vd when pregnant?
Definition
goes up, a lot more water to carry
Term
What happens to fat content when you are pregnant
Definition
goes up
Term
What happens to absoprtion during pregnancy
Definition
decreases GI transi
Term
Do pregnant women have lower or higher gastric ph
Definition
higher
Term
do pregnant women have increased or decreased protein binding
Definition
decreased (increased free drug)
Term
What happens to GFR when pregnant
Definition
increases; increases clearance (dose it more often)
Term
How large does a drug have to be to cross placenta
Definition
less than 400 daltons
Term
When chosing a drug, what characteristics would you look for?
Definition
highly protein bound, high molecular weight, short half life
Term
What percentage of pediatric dose is safe for baby to have
Definition
10% or less
Term
What type of membrane do drugs have to cross and what percentage of drugs reach the baby
Definition
Semi-permeable
1% or less
Term
If dopamine is high, what happens to prolactin?
Definition
low which means less milk
Term
How many half lives for typical agents
Definition
1-2
Term
How many half lives for toxic compounds?
Definition
4-5
Term
What is given for nausea and vomiting?
Definition
Promethazine/prochlorperazine or pyridoxine
Term
What is given for constipation?
Definition
polycarbophil or psyllium (Miralax)
Term
What do you recommend for heartburn?
Definition
Antacids, H2 blocker, PPI
Term
What do you recommend for pain?
Definition
APAP
NSAIDs/Aspirin can be used only during first trimester
Term
Problem with NSAIDs/Aspirin
Definition
can close PDA in later trimesters
Term
Cough and congestion?
Definition
Dextromethorphan
Term
Allergies?
Definition
Inhaled corticosteroid
Term
Bacteriuria?
What medications do you avoid?
Definition
Amoxicillin, Cephalexin
Avoid fluoroquinolones, bactrim
Term
Bacterial vaginosis?
Definition
Metronidazole
Term
Vulvovaginal candidiasis?
Definition
azole for 7 days (except fluconazole)
Term
Chlamydia?
Definition
Amox or Azith
Term
Gonorrhea?
Definition
cefixime or ceftriaxone (avoid tetracylcines)
Term
HSV2 treatment
Definition
Acyclovir
Term
Syphilis treatment
Definition
Benzathine penicillin G
Term
Trichomoniasis treatment?
Definition
oral metronidazole
Term
What type of drugs stops labor?
Definition
tocolytics
Term
What medication helps with fetal lung maturation?
Definition
antenatal corticosteroids
Term
CCB, indomethacin, Mg, and terbutaline do what?
Definition
stop labor (tocolytics)
Term
Preterm labor antibiotics
Definition
intravenous ampicillin and erythromycin
Term
Drug for group B Strep
Definition
pencillin G
Screened at 25-27 weeks
Term
Hyperthyroidism
Definition
prophylthiouracil
Term
Hypothyroidism
Definition
increrase dose of synthroid
Term
Acute mastitis
Definition
cephalexin/dicloxacillin
Term
Nipple candidiasis
Definition
topical ketoconazole, nystatin
Term
lactation enhancement
Definition
metoclopramide
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