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OB meds 1

unit one maternity meds

QuestionAnswer
Metronidazole (antiprotozoal) Infections including trichomoniasis and giardiasis PO/IV, PC- B, symptoms:NVD, Headache, dizzy, cramps, metallic taste, dry mouth. Pee can turn dark red, alc, disulfiram reaction
Ceftriaxone (Cephalosporin) Infections, IM/IV. PC- B. Thrombocytopenia, Neutropenia, Pseudomembranous colitis,Chest pain, Anaphylaxis, less than 4 grams, don't dilute with calcium, monitor for Clostridium difficile, hemolytic anemia
Doxycycline (Tetracycline) Infections including gonorrhea, syphilis, PID, acne, chlamydia, UTI. PC- D. Oral candidiasis, thrombocytopenia, Neutropenia, Photosensitivity. Take PO with food/milk, no one hour before bed, no preg or younger than 8
Penicillin Syphilis,URI, To prevent post-strep rheumatic fever and glomerulonephritis. IM/PO, PC- B. Hemolytic anemia, Leukopenia, Thrombocytopenia, N/V, Anaphylaxis, Seizures. Obtain specimen for culture before giving 1st dose May decrease OC effectiveness
Acyclovir (Antiviral) Herpes, Varicella. IV/PO, PC- B. Headache, blood dycrasias, NVD,Renal failure Thrombocytopenic purpura. Superinfection: Sore throat, fever, and fatigue. Keep pill intact with glass of water no food. renal
Acetaminophen Pain, fever. PO/rectal/IV. PC- B. Anemia, Liver / kidney failure, Angioedema, Hives, Itching, Dark urine. Take crushed or whole with full glass of water, can give with milk or food to decrease GI upset
Ibuprofen (NSAID) Rheumatoid arthritis, Osteoarthritis, Primary dysmenorrhea, Gout, Dental pain, Musculoskeletal disorders, Fever. PO, C for under 30 weeks and D for over.Headache,Tinnitus, Nausea, anorexia Dizziness Blood dycrasias Constipation GI bleeding Kidney failure
Betamethasone Corticosteroid, Decreases inflammation Improves uptake of surfactant (24-34 weeks) IM, PC- C. Flushing, sweating, hypertension. Last 7 days. Monitor BP, given when <34 weeks, monitor glucose, increase wbc
Magnesium sulfate Electrolyte; anticonvulsant, relaxes smooth muscle of the uterus protection for the fetus with PTL. IM/IV Loading dose: 4-6 g Continuous dose: 2 g/h,Flaccid paralysis Circ. collapse/ pulm. Edema Hyporeflexia, Sedation,Fetal bradycardia, Oliguria, 5-7
Nifedapine Calcium Channel Blocker. HTN, angina. Effective in delay of delivery. PC- C, PO. Orthostatic hypotension, Leg cramps, Edema, Dizziness. Avoid changing positions rapidly,Monitor BP, NO grapefruit juice or St. John’s wort
Terbutaline Selective B2-antagonist, Tocolytic(stop premature labor). PO/ subq, PC- B. Tremors, Tachycardia, Hypotension, Pulmonary edema, Headache, N/V, Hyperglycemia, Palpations, Dizziness, Arrest Hold if maternal heart rate >120 bpm or BP < 90/60 Hold if FHR >160
Ferrous sulfate Iron deficiency, PO,Nausea, Constipation, Black stool, Temporary teeth staining from liquid form (dilute in water or juice)Give 1 hour before or 2 hours after meals, no dairy or antacid or consume within 1 hour, Do not crush enteric-coated tablets
Folic acid B Vitamin, Prevent neural tube defects. PO. PC- A. Bloating, Bitter taste, Sleep Problems. 400-800 mcg Q day. Start prior to conception
Lispro (Humalog)Aspart (Novolog) Rapid acting, Hyperglycemia. SUBQ, PC- B. hypoglycemia. Onset: 15 minutes Peak: 40-60min Duration: 3-5 hours. Take within 15 minutes of eating
Glulisine Rapid acting. SUBQ. PC- C. Hypoglycemia. Onset: 15 minutes Peak: 1 hour Duration: 3-5 hours. Monitor FSBS
Regular (Humulin-R, Novolin-R) Short acting, SUBQ/ IV. PC- B. Hypokalemia, Onset: 30-60 minutes Peak: 2-3 hours Duration: 4-6 hours Usually administered 20-30 minutes before meals
Isophane (NPH, Humulin-N, Novolin-N) Intermediate. SUBQ. PC- B. Onset: 2-4 hours Peak: 6-8 hours Duration: 12-16 hours. Monitor FSBS Usually given after food
Glargine Long acting. SUBQ. PC- C. Onset: 2 hours Peak: continuous Duration: 24 hours. Monitor FSBS Used for basal dose Cannot be mixed with other insulins Given at bedtime
Detemir Long acting, SUBQ, PC- C, Onset: 2 hours Peak: continuous Duration: 24 hours. Monitor FSBS, Used for basal dose
Chronic poisoning from acetaminophen Rapid, weak pulse; dyspnea; cold, clammy extremities
Chronic overdose from acetaminophen Bleeding, bruising, malaise, fever, sore throat, anorexia, jaundice Antidote: Acetylcysteine
Ibuprofen part 2 Max is 3200 mg/day Sign of toxicity:Ringing in ears Signs of kidney failure:Urinary pattern changes, increased weight, edema, increased joint pain, fever, hematuria. Sunscreen. no ASA, NSAIDS, alc, or anticoags, increase stroke + MI
Created by: ngcochran
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