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Midwifery Pharmacology-34

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The student is expected to document all meds the client is currently receiving.
MEDICATION NAME DOSE, ROUTE, EFFECTS PREGANCY FETUS
GENERIC/TRADE INDICATION/ ACTION TIMES FOOD/DRUG SIDE EFFECTS AND/OR NEONATE NURSING CONSIDERATIONS
CLASSIFICATION DOSGE/RANGE INTERACTIONS
(PHARM) AND (include therapeutic
PREGNANCY dose calculation)
CATEGORY
Water soluble vitamins B and C PO or IM Infants Should be taken with Urine discoloration, Vitamins A,D,C, and B6 have a Monitor blood serum levels.
Infant Vitamins Fat-soluble vitamins A,D, E, and K 1ml solution/ daily meals body aches, skin color negative effect on the fetus. Taken as directed.
Can result in toxicity in high doses in with feeding Vitamin A sources changes, joint pain Excessive intake of one vitamin Folic acid and iron are the only
Classification Use to treat vitamin deficiency or associated include deep green, may interfere with the body’s use nutritional supplements generally
Vitamin problems such as anemia PO or IM yellow and orange Fat-soluble vitamins of vitamin B12 (mega doses are recommended during pregnancy.
Supplement Minerals – primary minerals are sodium, Preganancy vegetables and some toxicity includes best avoided) . An increase need for other
phosphorus necessary for bone formation. RDA fruits, animal sources nausea, . Inadequate maternal intake of vitamins and mineral can usually
Olds’s Maternal and Calcium, Chlorine, phosphorus, potassium Vitamin A is 770 include liver, egg gastrointestinal upset, vitamin A associated with be met with an adequate diet. To
Newborn Nursing need for nerve function and fluid balance. mcg per day for yolk, cream, , and dryness and cracking preterm birth, intrauterine growth avoid possible deficiencies,
Infant Page 895 Iodine is used for thyroid function pregnant women milk. of the skin, and loss of restriction, decreased birth many healthcare professionals
Pregnancy 428-430 Magnesium and manganese and zinc are for age 19 and older. Vitamin D sources hair. weight. still recommend a daily vitamin
Preg. Cat. A, B, C enzymes process Inadequate include fortified A & D can lead to Vitamin D is needed for supplement.
Organic substances necessary for life and dietary milk, liver, , cream, toxicity. developing fetus and in pregnant
PRENATAL growth, vitamins A, D, E, and K (fat- supplementation butter, ultra-violet Overdose of Vitamin D women the need for calcium Monitor dietary intake and food
VITAMINS A, B, C, soluble) are stored in the liver available is 5000 light rays of sunlight. during pregnancy can absorption. Vitamin E massaged sources. Check for vitamin
D, E, and K should the dietary intake become international Vitamin E cause hypercalcemia as oil prevents permanent deficiencies.
PO/IM - B 12 inadequate (not excreted in the urine). units (e.g. strictly sources include or high blood calcium stretch marks. Excessive intake) Dietary education on
Vitamin A for growth of epithelial cells vegetarian, whole grains, greens, levels because of may cause abnormal coagulation maintaining a good healthy diet
Vitamin E for lining entire gastrointestinal tract and deficiency of vegetable fats/oils, calcium from the in newborns.Deficiency from the four food groups.
(Tocopherol) compose the skin. Vitamin A (retinol) vitamin A is and egg. skeletal tissue. Toxicity symptoms of Vitamin E relate to
Vitamin K prevents night blindness. endemic in Vitamin K symptoms include long-term inability to absorb fats OTC vitamins and minerals,
(Memadione) Vitamin D plays a role in absorption and recent Sources include excessive thirst, loss of (mal-absorption exits in cases of food
Water-soluble utilization of calcium and phosphorus in emigrants). liver, green leafy appetite, vomiting cystic fibrosis,liver cirrhosis, supplements may potentially be
supplements C, B. skeletal development Vitamin D vegetable weight loss, irritability obstructive jaundice). harmful if used in excess.
Vitamin B1 Vitamin E involves enzymatic, metabolic 5mcg/day Vitamin C and high blood calcium Vitamin K synthesis by
(Thiamine) reactions, antioxidant, and affects health Vitamin E Sources include levels. destroying intestinal E-coli in the Notify physician before taking
B2 (Ribofavin) of all cells in body protecting cell 15mg per day citrus fruit, tomatoes, Vitamin E is beneficial intestine. Water-soluble vitamins OTC medications, herbs or other
B 12 (coalamin). membrane. Synthesis or nucleic acids Vitamin K cantaloupe, in treating certain types concentrations in maternal vitamin supplements.
Folic acid, required forming red blood cells. 90mcg per day strawberries, of muscular pain and serum falls, where as high
pantothenic acid, Vitamin K is an essential factor for Vitamin C is potatoes, broccoli, intermittent claudiction, concentration are found in the
Niacin synthesis of thrombin, normal blood increase in and, but air, heat and surface healing of fetus. Folic acid for normal
Vitamin B6 clotting pregnancy. water during storage wounds, burns, growth, reproduction, and
(pyridoxine) Vitamin C is to aid the formation and and cooking destroy protecting lung tissue lactation and prevents
Vitamin C development of connective tissue and ascorbic acid from damaging effects macrocytic, megaloblastic
(Ascorbic acid) vascular system. Ascorbic of smog. anemia of pregnancy, neural
Vitamin K Need for tube defects (NTDs) (spinal
Vitamin K dose bifida, anencephaly).

PHARM

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