Pharmacology in midwifery Flashcards Preview

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Flashcards in Pharmacology in midwifery Deck (106)
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1

What are the 4 main principles of quality use of medicines?

- judiciousness
- appropriateness
- safety
- effectiveness

2

Which regulatory body is respinsable for the regulation of medicines in Australia?

The therapeutic drugs administration (TGA)

3

What is a teratogen?

any substance that interferes with normal fetal development causing one or more developmental abnormalities

4

What is a mutagen?

a chemical or physical agent that causes a genetic mutation or increases the mutation rate

5

What is a carcinogen?

any agent that causes the development of cancer or increases its incidence

6

What is the role of the midwife in terms of pharmacology?

- education regarding indication, adverse effects, transfer to baby and safety in pregnancy/breastfeeding
- assistance in informed decision making
- appropriate administration
- assessing adverse drug effects
- interpreting and following standing orders
- working within local prescribing frameworks

7

What are the main antibiotics listed on the PBS for midwife prescribing?

- amoxycillin
- amoxycillin & clavulanic acid
- benzylpenicillin
- cephalexin
- clindamycin
- dicloxacillin
- flucloxacillin
- lincomycin
- nitrofurantoin

8

What is the name of the 2 eyedrops/eardrops listed on the PBS for midwife prescribing?

- chloramphenicol
- framycetin sulfate

9

What are the main anti-inflammatories that are listed on the PBS for midwife prescribing?

- diclofenac
- ibuprofen

10

What contraceptives are listed on the PBS for midwife prescribing?

- etonogestrel implant
- levonorgestrel

11

What is the main anti-emetic listed on the PBS for midwife prescribing?

- Metochlopramide

12

What opiod analgesic is listed on the PBS for midwife prescribing?

- morphine

13

What antacid is listed on the PBS for midwife prescribing?

- ranitidine

14

What are the main indications for giving antibiotics in the perinatal period?

- urinary tract infection
- GBS prophylaxis
- perineal infection
- caesarean wound infection
- endometritis
- neonatal skin infection
- mastitis

15

What is the usual indication for giving metochlopramide in the perinatal period?

relief of nausea and vomiting (particularly intrapartum)

16

What is the main anticonvulsant given in the perinatal period (particularly for preeclampsia)?

magnesium sulfate

17

What is the antidote to magnesium sulphate?

calcium gluconate

18

What are the 2 antidotes to metochlopramide?

- diphenhydramine
- benztropine

19

What are the 2 main antifungals that are usually given to treat vulvovaginal, nipple or neonatal oral thrush?

- iotrimazole
- nystatin

20

What is the generic name for the antiviral used to manage herpes simplex virus in late pregnancy?

Acyclovir

21

Which benzodiazepine is often given for rest and relaxation in early non-active labour?

Temazepam

22

Which 2 drugs act as dopamine-agonists and may be given to stimulate lactation postnatally?

- domperidone
- metochlopramide

23

What are the 2 key corticosteroids that may be given antenatally where there is threatened preterm labour?

- betamethosone
- dexamethasone

24

What is the immunoglobulin that is usually recommended to Rhesus (D) negative women with suspected rhesus positive pregnancies?

Human anti-D IgG

25

What is the antagonist given to women or infants to reverse the action of opiods in labour?

naloxone hydrochloride

26

What are the 2 most common NSAIDs given for postpartum analgesia?

- Diclofenac sodium
- Indomethacin

27

What prostaglandin may be indicated for management of PPH?

misoprostol

28

What drug may be used to manage anaphylaxis?

adrenaline hydrochloride

29

What antihypertensive is also used as a tocolytic?

Nifedipine

30

What are the main uterotonics given in the perinatal period? and what are their trade names?

- oxytocin (syntocinon)
- oxytocin/ergometrine (syntometrine)
- ergometrine maleate (ergometrine)