Psychiatric Meds
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Maternal prenatal stress/depression is associated with.. | low infant birth weight and prematurity, also temperament and behavior
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| Women with schizophrenia or a major affective disorder have an increased risk for... | fetal distress, abruptio placenta, IUGR, and babies with heart defects
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| When compaired to babies whose mothers were depressed but took no meds, babies exposed to SSRIs had... | lower birth weight, gestational age, respiratory distress, jaundice and feeding problems
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| Antidepressants and pregnancy: SSRIs (and tricyclics) | Low risk for malformations, risk for problems in newborn period
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| Antidepressants and pregnancy: Paxil | small increase risk for heart defects (~1%), significant problems for newborn adaptation
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| Antidepressants and pregnancy: Effexor | significant problems with newborn adaptation
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| Antidepressants and pregnancy is a... | continued area of study, risk is unlikely to be large but unlikely to be zero
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| SSRIs and neonatal adaption: neonatal behaviorial syndrome | CNS (Irritability and agitation), Motor (tremors, increased muscle tone), respiratory distress, GI difficulties, onset between birth and 3 weeks and typically lasts less than two weeks
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| Neonatal behaviorial syndrome most implicated with what 3 drugs | Paxil, Prozac and Effexor
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| Medical management for Neonatal adaptation syndrome | Supportive care in the NICU, toxicity versus withdrawal.. occasionally small doses of the maternal medication are administered
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| FDA says (with SSRIs) 3rd trimester exposure leads to... | 20-30% risk for neonatal behavioral syndrome and 1% risk for PPHN
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| Lithium | (~1%) risk for Ebstein's anomaly, fetal echocardiogram at 20 weeks is recommended. 3rd trimester has been associated with LOTS OF stuff...
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| Lithium in 3rd trimester... | neonatal cyanosis, hypotonia, cardiac rhythm disturbances, diabetes insipidus and hypothyroidism
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| Antipsychotics: Haldol | limb defects, extrapyramidal effects in third trimester
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| Antipsychotics: Risperdal | Reassuring!!!!
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| Antipscyhotics: Zyprexa | Reassuring. But maternal weight gain may lead to OB complications
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| Infants and breastfeeding: Long term effects of psychotropics on neurocognitive development are... | largely unknown
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| Infants and breastfeeding: Potential acute efects of SSRIs on infants |
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| Maternal prenatal stress/depression is associated with.. | low infant birth weight and prematurity, also temperament and behavior
🗑
|
||||
| Women with schizophrenia or a major affective disorder have an increased risk for... | fetal distress, abruptio placenta, IUGR, and babies with heart defects
🗑
|
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| When compaired to babies whose mothers were depressed but took no meds, babies exposed to SSRIs had... | lower birth weight, gestational age, respiratory distress, jaundice and feeding problems
🗑
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| Antidepressants and pregnancy: SSRIs (and tricyclics) | Low risk for malformations, risk for problems in newborn period
🗑
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| Antidepressants and pregnancy: Paxil | small increase risk for heart defects (~1%), significant problems for newborn adaptation
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| Antidepressants and pregnancy: Effexor | significant problems with newborn adaptation
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| Antidepressants and pregnancy is a... | continued area of study, risk is unlikely to be large but unlikely to be zero
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| SSRIs and neonatal adaption: neonatal behaviorial syndrome | CNS (Irritability and agitation), Motor (tremors, increased muscle tone), respiratory distress, GI difficulties, onset between birth and 3 weeks and typically lasts less than two weeks
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| Neonatal behaviorial syndrome most implicated with what 3 drugs | Paxil, Prozac and Effexor
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| Medical management for Neonatal adaptation syndrome | Supportive care in the NICU, toxicity versus withdrawal.. occasionally small doses of the maternal medication are administered
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| FDA says (with SSRIs) 3rd trimester exposure leads to... | 20-30% risk for neonatal behavioral syndrome and 1% risk for PPHN
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| Lithium | (~1%) risk for Ebstein's anomaly, fetal echocardiogram at 20 weeks is recommended. 3rd trimester has been associated with LOTS OF stuff...
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| Lithium in 3rd trimester... | neonatal cyanosis, hypotonia, cardiac rhythm disturbances, diabetes insipidus and hypothyroidism
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| Antipsychotics: Haldol | limb defects, extrapyramidal effects in third trimester
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| Antipsychotics: Risperdal | Reassuring!!!!
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| Antipscyhotics: Zyprexa | Reassuring. But maternal weight gain may lead to OB complications
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| Infants and breastfeeding: Long term effects of psychotropics on neurocognitive development are... | largely unknown
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| Infants and breastfeeding: Potential acute efects of SSRIs on infants | GI Disturbances (Prozac), irritability, somnolence
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| Potential long term effects of SSRIs while breastfeeding | Neurobehavioral changes, decreased wt gain
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| Mood stabilizers | American Academy of Pediatrics classifies lithium as not compatible with breastfeeding
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Created by:
KChatham
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