Pharm Final, 2014

Front 1

With a vaginal delivery, you wait to give pitocin until:

Back 1

Placenta is delivered

Front 2

With a c/s, you give pitocin as soon as:

Back 2

The baby is out

Front 3

In a c/s you give pitocin:

Back 3

More rapidly (over 10 min)

Front 4

Oxytocin can cause:

Back 4

Hypotension

Front 5

Oxytocin hypotension usually occurs after:

Back 5

Rapid infusion

Front 6

Oxytocin hypotension is usually:

Back 6

Mild and transient (5 min duration)

Front 7

Oxytocin side effects:

Back 7

N/V, headache, water retention and reduced urine output

Front 8

Oxytocin: water retention and reduced urine output occurs with:

Back 8

Prolonged administration (ADH effect)

Front 9

Oxytocin may be given in small IV boluses for rx of:

Back 9

Uterine atony (2 mcg)

Front 10

Complex of multiple biologically active amines:

Back 10

Ergot alkaloids

Front 11

Rx for migraines

Back 11

Ergotamine

Front 12

2nd line tx for uterine atony

Back 12

Methylergonovine (Methergine)

Front 13

Ergot derivatives are a :

Back 13

Direct alpha adrenergic stimulator

Front 14

Ergot derivatives cause:

Back 14

Tense uterine cxs and generalized vasoconstriction

Front 15

Ergot derivatives are not useful for:

Back 15

Labor induction/augmentation

Front 16

Ergot derivatives cause strong uterine stimulating properties which can cause:

Back 16

Tetanic cxs and fetal compromise

Front 17

Ergot derivatives are used as a second line drug for uterine atony not responding to:

Back 17

Pitocin

Front 18

Ergot derivatives are given:

Back 18

IM or oral only

Front 19

Ergot derivatives are:

Back 19

Refrigerated

Front 20

Ergot derivatives are metabolized by the

Back 20

Liver

Front 21

Ergot derivatives have a half life of:

Back 21

2 hours

Front 22

Ergot derivatives side effect:

Back 22

Generalized arterial and venous vasoconstriction

Front 23

Ergot derivatives side effect:

Back 23

Small increases in bp

Front 24

Ergot derivatives side effect:

Back 24

Increase CVP and wedge pressure

Front 25

Ergot derivatives side effect:

Back 25

N/V

Front 26

Ergot derivatives side effect if given IV:

Back 26

Severe HTN, pulmonary edema, intracerebral hemorrhage, heart failure, seizures, cerebral edema, coronary artery vasoconstriction

Front 27

Ergot derivatives should not be used in pts with:

Back 27

Cardiac disease

Front 28

Ergot derivatives should not be used in pts with:

Back 28

HTN or PIH

Front 29

Ergot derivatives should not be used in pts with:

Back 29

PVD

Front 30

Ergot derivatives potentiate sympathomimetics such as:

Back 30

Ephedrine