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16 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Clomiphene Citrate |
Ovarian stimulator & selective estrogen receptor. Increases FSH secreted by pituitary glands thus inducing ovulation. 5 to 10 days after treatment completed |
Effect on mother: hot flashes, check temp. Breast pain/tenderness. Uterine bleeding. liver disease, thyroid or adrenal disease. |
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Menotropin |
Given to women diagnosed with anovulation. Promotes the development of ovarian follicles. |
Effect on mother: hot flashes, check temp. Breast pain/tenderness. Uterine bleeding. liver disease, thyroid or adrenal disease. |
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Follitropin Alfa |
Stimulates follicle development and thus promotes fertility. Do not shake syringe. |
Effect on mother: hot flashes, check temp. Breast pain/tenderness. Uterine bleeding. liver disease, thyroid or adrenal disease. Include hypersensitivity. Tumors in ovaries, breast, uterus, hypothalamus and pituitary gland. |
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Human Chorionic Gonadotropin (HCG) |
Manufactured as Novarel or Pregnyl. Human formulated of HCG that obtained from urine of pregnant women. Used to replace luthenizing hormone which helps stimulate ovulation. |
Effect on mother: edema, depression, breast enlargement, ovarian cyst. Ovarian hypersensitivity to hormone. Neoplasms |
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Leuprolide (Lupron) |
Unlabeled use in treatment of infertility. Administered subcutaneously. Prevents premature ovulation and enhances production of larger quantity of quality eggs. |
Effect on mother: hot flashes, headache, mood swings, insomnia, vaginal dryness. Decreased breast size. Bone loss, painful intercourse. |
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Anemia: Physiological anemia |
Hemoglobin below 10g/dl or hematocrit below 30% |
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Anemias: Iron Deficiency Anemia |
Often related to long term nutritional deficiency |
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Anemias: Folic Acid Deficiency Anemia |
Recommended intake of Folic Acid (FA) doubles from 400 to 800 in pregnancy. FA supplement often necessary. |
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Magnesium Sulfate |
Given intravenously as a first line drug to prevent preterm birth. Safe in pregnancy and eclampsia with renal insufficiency, decrease dose |
Effect on mother: myasthenia gravis, preeclampsia, eclampsia are adjuvant |
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Nifedipine (Procordia) |
Calcium channel blocking drug decreases uterine contractions and lowers blood pressure |
Effect on mother: is controversial causes hypotension which reduces blood flow between the placenta and uterus and thus compromises fetus. women with heart failure or dysfunction of left ventricle should not use this |
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Terbutaline Sulfate (Brethine) |
Beta - adrenergic agent that inhibits uterine contractions by reducing intracellular calcium levels |
Effect on mother: hyperkalemia, hyperglycemia, cardiac dysrhythmia, hypotension, and pulmonary edema. Include hyperthyroidism and diabetes as well as placenta previa ir placental abruption. Women experience hand tremors, palpation, shortness of breath. Effect on baby: crosses placenta producing fetal tachycardia and neonatal hypoglycemia |
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Nonsteroidal anti-inflammatory (Aleve) (indomethacin) |
Acts as atocolytic by inhibiting uterine prostaglandins that initiate the uterine contractions of normal labor |
Effect on mother: nausea, heartburn, dizziness, gastrointestinal (GI) bleeding |
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Prostaglandins |
Promote cervical opening so cervix thinner. Promote uterine contractility. To increase uterine contractility and decrease postpartum bleeding time |
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Dinoprostone |
Stimulates uterine contractions like ones in labor. Available as endocervical gel, vaginal insert, vaginal suppository. Enhances cervical ripening so fetus can pass easily through birth canal |
Effect on mother: back pain, GI upset, diarrhea, fever, uterine contractions |
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Misoprostol (cytotec) |
Protects lining of stomach Unlabeled use: increase cervical ripening and induce labor |
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Oxytocin |
Induces labor or augmentes weak, irregular uterine contractions during labor |
Can't be combined with fibrinolysin or heparin |
