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RxPrep
Pregnancy and Vaccines (CH 48 and 20)
| Question | Answer |
|---|---|
| Warfarin in pregnancy? | No |
| Statins in pregnancy? | No |
| Valproic acid in pregnancy? | No |
| Topiramate in pregnancy? | No |
| FQs in pregnancy? | Avoid |
| Tetracyclines in pregnancy? | Avoid |
| First-line HTN drugs in pregnancy? | Labetalol, nifedipine ER, methyldopa |
| Aliskirin in pregnancy? | No |
| Preferred diabetes treatment in pregnancy? | Insulin |
| Oral options sometimes used for DM in pregnancy? | Metformin and glyburide |
| Can aspirin be used in pregnancy? | Almost always no, can ONLY be used in low doses for preeclampsia prevention in pregnant T1/T2 diabetes patients. |
| Preferred ICS in pregnancy? | Budesonide |
| Rescue inhaler pregnancy? | Albuterol alone or ICS-formoterol combos are preferred for rescue |
| LABA use in pregnancy? | Can continue with ICS |
| All ICS safe in pregnancy? | Yes |
| Hypothyroidism treatment pregnancy? | Levothyroxine, but must increase dose by 30-50% |
| HYPERthyroid drug(s) 1st trimester? | PTU or methimazole |
| Preferred anticoagulant pregnancy? | LMWH preferred, CAN use heparin though |
| Mechanical valve pregnancy? | LMWH preferred, CAN use heparin though, NEVER warfarin |
| Safe antibiotics in pregnancy? | Penicillins, cephalosporins, and most macrolides (NOT clarithromycin) |
| Which ABX should NOT be used in pregnancy? | Avoid FQs and tetracyclines |
| Preferred agents for UTI in pregnancy? | 1) Cephalexin 2) Amoxicillin |
| Alternative agents in UTI in pregnancy? | **Macrobid, **Bactrim, and fosfomycin **Avoid these late pregnancy |
| Vaginal fungal infection in pregnancy? | Topical antifungal, avoid systemic azoles |
| First-line nausea pregnancy? | Pyridoxine +/- doxylamine |
| First-line GERD therapy in pregnancy? | Lifestyle first, then calcium carbonate |
| Next step GERD therapy in pregnancy? | After lifestyle and Tums fail, can use H2 blocker or PPI |
| First line constipation tx for pregnancy? | Fiber |
| Can pregnant patients take stool softeners? | Docusate is ok |
| Can pregnant patients use Miralax? | Yes |
| First-line allergy pregnancy? | Cromolyn |
| Ideal Antihistamines in pregnancy? | Chlorpheniramie Loratidine, Cetirazine |
| Preferred nasal steroid pregnancy? | Budesonide |
| Oral decongestants in pregnancy? | NOT in first trimester |
| NSAIDs in pregnancy? | Avoid, esp after >20 weeks |
| Preeclampsia prevention drug? | Low-dose aspirin, BUT only after 1st trimester and in high risk patients |
| Tdap in pregnancy timing? | Third trimester of each pregnancy |
| Tdap purpose in pregnancy? | Prevent pertussis in infant |
| RSV vaccine pregnancy timing? | 32–36 weeks gestation |
| Flu vaccine age minimum | 6 months or older |
| Flu vaccine in pregnancy? | Yes, just no live flu shots |
| HPV vaccine brand? | Gardasil 9 |
| HPV age range? | 9–26 years |
| Dosing for HPV vaccine? | HPV dosing <15 years? 2 doses HPV dosing ≥15 years? 3 doses |
| CI of HPV vaccine? | Severe yeast allergy |
| MMR brands? | M-M-R II, Priorix |
| RSV pregnancy vaccine? | Abrysvo |
| RSV infant monoclonal? | Nirsevimab (Beyfortus) |
| RSV antibody for infants? | Palivizumab (Synagis) |
| PCV20 brand? | Prevnar 20 |
| PCV15 brand? | Vaxneuvance |
| PCV21 brand? | Capvaxive |
| Adult pneumococcal option 1? | PCV20 alone |
| Adult pneumococcal option 2? | PCV15 then PPSV23 |
| PCV15 to PPSV23 interval? | 12 months |
| MenABCWY brand? | Penbraya |
| MenB brands? | Bexsero, Trumenba |
| MenACWY brands? | Menactra, Menveo, MenQuadfi |
| MenACWY schedule adolescents? | 11–12 yrs and 16 yrs |
| MenB optional age? | 16-23 years old |
| Hep A brands? | Havrix, Vaqta |
| Hep B brands? | Engerix-B, Heplisav-B, Recombivax HB |
| When is Hep B given for infants? | Within 24 hours of birth |
Created by:
cdaughtry