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24 Cards in this Set
- Front
- Back
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what are 2 pharmacological methods for PMDD?
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antidepressants
ovulation suppression |
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what are 3 supplements that may help PMDD?
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calcium
chasteberry vitamin B6 |
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what are 4 risks of maternal anxiety?
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prematurity
low birth weigh low apgar scores high cortisol levels in children |
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what are 3 risks of maternal depresion?
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low birth weight
intrauterine growth retardation childhood IQ negatively associated with duration of depression in pregnancy |
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what do you need to detect teratogenesis with medication? (2)
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must exceed 3% baseline
must have distinctive pattern |
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what are 5 antipsychotics with low risk for teratogenesis?
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thioridizine
perphenazine trifluoperazine fluphenazine haloperidol |
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what are 4 antidepressants with low risk of antidepressants?
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TCAs
most SSRIs buproprion mirtazapine venlafaxine |
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what antidepressant carries a 1.5x risk of VSD/ASD in the first trimester?
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paroxetine
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what mood stablizing medication increases the risk for cleft palate?
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mood stablizing medication
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what may help reduce the risk of teratogenesis with anticonvulsants?
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folate
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what drug class has limited information on teratogenesis?
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atypical antipsychotics
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what drug is known to cause ebstein's anomaly?
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lithium
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what drug is known to cause cranial-facial defects and spinal bifida?
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carbamazepine
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what drug is known to cause cranial-facial defects, spina bifida, autism, and mental retardation?
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valproid acid
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what drug is known to cause cleft palate?
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benzodiazepines
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what drug is a known teratogen?
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MAOIs
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what can lithium do during labor?
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can cause obstructed labor due to goiter in the baby
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what can benzodiazepines do during labor?
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can cause sedation in the neonate
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what is the strongest predictor of post-partum depression?
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depression during pregnancy
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what is the safest alternative for women dependent on mood stablizers? what is the second choice?
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lithium
lamotrigine is second choice |
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what is the treatment of choice when management is urgent, delusional depression, and mania?
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ECT
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what are 5 things to screen for in postpartum depression?
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anemia
thyroid disease bipolar disorder psychosis delirium |
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what drugs have there found to be no harm during breastfeeding? (6)
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SSRIs
TCAs buproprion venlafaxine trazadone atypical antipsychotics |
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when is emergency intervention needed? (4)
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risk of harming self
risk of harming others rapidly evolving delusions, especially about the infant confusion |
