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30 Cards in this Set
- Front
- Back
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Metabolic B mimetic effects
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Hyperglycemia, hypokalemia, hyperinsulinemia, > renin secretion, retention of Na and H2O
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Cardiopulmonary B mimetic effects:
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Tachycardia, HTN, hypotension, dysrhythmias, myocardial ischemia
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6.5% incidence of ______ when a pt is on B mimetics
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Pulmonary edema
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Pulmonary edema is a major cause of maternal ______ from B mimetic therapy
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Morbidity and mortality
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Pulmonary edema while on B mimetics is d/t Na and water retention causing:
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Volume overload and increased hydrostatic pressure
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Fetal effects of B mimetic therapy in mother
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Tachycardia, arrhythmias, hypoglycemia
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You see hypoglycemia in the infant of a mother on B mimetics d/t:
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Increased insulin release in mother
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Make sure you do not give epidurals with _____ if a mother is on B mimetic tx
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Dextrose
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Relatively B2 selective
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Terbutaline
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Terbutaline can cause:
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Tachycardia and arrhythmias
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Terbutaline is eliminated via:
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Kidneys
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Terbutaline is currently used for fetal distress caused by:
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Uterine hyperstimulation
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Terbutaline causes:
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Acute uterine relaxation
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Smooth muscle relaxant
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NTG
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Relaxes the uterus in small doses
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NTG
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Useful for retained placenta and twin delivery
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NTG
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NTG has a minimal BP change unless:
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Unstable hemodynamics
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Primarily used as a last resort d/t s/e
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Indomethacin
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Prostaglandin synthetase inhibitor
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Indomethacin
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Indomethacin works by inhibiting:
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Cyclooxygenase
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Indomethacin works by blocking the synthesis of:
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Prostaglandins
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Blocking the synthesis of prostaglandins prevents:
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I-Ca release and actomyocin coupling
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Indomethacin prevents:
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Uterine cxs
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Indomethacin s/e are worse on the:
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Baby
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Indomethacin s/e on the mother are:
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Minimal
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Indomethacin causes a transient:
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Platelet dysfunction
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Indomethacin effects on fetus:
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Premature closure of ductus arteriosis
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Indomethacin effects on fetus:
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Reduced urine excretion
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Indomethacin effects on fetus:
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Enhanced ADH
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Indomethacin effects on fetus:
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Long term- oligohydramnios
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