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Drugs in Pregnancy
Review
| Question | Answer |
|---|---|
| to prevent maternal iron deficiency anemia and not to supply the fetus with iron. | IRON |
| Side Effects on Iron Supplements (7) | 1.nausea & vomiting 2.constipation 3.black,tarry stools 4.GI irritations 5.epigastric pain 6.discoloration of urine 7.diarrhea |
| To prevent spontaneous abortion, and neural tube defects (failure of the embryonic neural tube to close properly) can lead to spina bifida,or skull&brain malfunction of the baby | FOLIC ACID |
| Folate rich foods like green leafy vegestables , asparagus,papaya,strawberries and oranges should also be given. | FOLIC ACID |
| Side Effects of Folic Acid (6) | 1.rash 2.allergic bronchospasm 3.pruritus 4.erythema 5.malaise 6.urine may turn into intensely yellow. |
| Multiple Vitamins Includes (7) | 1.Vitamin A 2.B complex & B12 3.Vitamin C 4.Calcium 5.Vitamin D 6.Vitamin E 7.Iron |
| drug for NAUSEA&VOMITING (morning sickness) 88% of patients’complaints (at least 1 of 2) | pyridoxine hydrochloride & doxylamine succinate |
| Also called pyrosis is a burning sensation in the epigastric & sternal regions that occurs w/reflux of acidic stomach contents. | HEARTBURN |
| first line of therapy for heartburn in pregnancy. | Antacids= Aluminum hydrochloride |
| Causes maybe related to hormonal changes specifically progesterone –decreases gastric motility. | CONSTIPATION |
| 1st line of treatment for constipation during pregnancy | docusate sodium |
| headache from eyestrain, hormonal changes and sinus congestion are common. | PAIN |
| most common non-prescription drug during pregnancy & can be used during all trimesters of pregnancy for pain | Acetaminophen |
| The recommended iron demand during the course of pregnancy are as follows: 1 st trimester : (_)mg/day 2 nd trimester : (_)mg/day 3 rd trimester :(_)mg/day | 6.4 18.8 22.4 |
| Nursing Considerations in Iron Supplement | Dilute iron with water and use straw in giving liquid iron to prevent staining of teeth. Iron is best absorbed with juice and on an empty stomach Vit.C increases iron absorption gastric irritation ,you may administer iron w/food Don’t administer iron |