Pharm ATI Practice

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what type of meds to give to someone with acute cocaine toxicity

benzodiazepines

Medications like lorazepam, diazepam, or midazolam are the primary first-line therapy. They calm the central nervous system, reduce severe agitation, and help lower elevated heart rate and blood pressure

Gentamicin labs to monitor

Monitor I&O, BUN, and creatinine d/t risk of nephrotoxicity

betamethasone use in pregnancy

promote fetal lung maturation if early birth is anticipated (requirs 24hrs to be effective)

terbutaline use in pregnancy

uterine smooth muscle relaxation (stops contractions)

nifidipine use in pregnancy

​​​​​​​Nifedipine is a calcium channel blocker that is used to temporarily suppress preterm labor.

magnesium sulfate use in pregnancy

Magnesium sulfate is a central nervous system depressant and relaxes smooth muscles. Its primary use is to prevent seizures in clients who have preeclampsia. It has significant adverse maternal effects and increases fetal mortality. Although magnesium sulfate is not recommended for management of preterm labor, it can be prescribed to decrease the risk of cerebral palsy.

Indomethacin use in pregnancy

Indomethacin is a cyclooxygenase inhibitor that is used to suppress labor by inhibiting the synthesis of prostaglandins. Reserved for use for clients who are having early preterm labor.

Contraindications for tocolysis (ex terbutaline)

include active vaginal bleeding, hemodynamic instability, and acute fetal distress.