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9 Cards in this Set
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- Back
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Methotrexate
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Cytotoxic drug causing early AB by blocking folic acid in fetal cells so they cannot divide.
Liquid form of A486 Advantage: can take early-not surgical (won't destroy or damage cervix) |
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Misoprostol (Cytotec)
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prostaglandin analog that acts directly on the cervix causing it to dilate and soften and on the uterus causing contractions
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Aspiration-mechanical vacuum or suction cutterage
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most common procedure in 1st trimester; 95%; physician office clinic; 8-12 weeks since LMP; less than 5 minutes.
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Actual cutterage procedure
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speculum is inserted, cervix is anesthetized, dilated, canula connected to suction is insterted into uterus. Uterine cavity evacuated. Post-op care; provide juice and crackers
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Methotrexate admin
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IM or orally (usually in OJ)
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Misoprostol vaginal placement
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usually follows in 3-7 days; woman will return for follow-up visit to make sure pregnancy has been aborted
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Side effects of medication abortions
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Feel sick-fever and chills
Cramping, bleeding May take 1-7 days N/V/D Dizziness (worse symptoms are caused by misoprostol) |
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Surgical side effects
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Cramping
reverse lithotomy may feel faint give crackers and juice should be able to walk to the recovery area recover 1-3 hours |
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Complications of surgical procedure
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Infection
Cervical stenosis Cervical tear Uterine puncture Underestimated gestational age Seizures Retained tissue Hemorrhage Inability to complete abortion |
