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A

– Describe general principles to consider when prescribing medications for pregnant women?

-.Your 25-year-old patient has just found out she’s pregnant.  She tells you she has been taking Paxil for anxiety for about 5 years and wants to know if she should continue to take it during the pregnancy.  What education will you provide & what changes will you make to her medication plan?

– Describe factors related to fetal-placental physiology and transfer of medications.

– Discuss the concept of teratogenicity along with the categories of medications according to fetal risk.

B

D.B. is a 37-year-old Hispanic female in the OB clinic for an acute sick visit, and she is an established patient. Her chief complaint is “I feel like I can not drink enough water” ” Her past and current medical and surgical history include: Primigravida 25-week gestation, Appendectomy. Her current medications are Prenatal vitamin 2 capsules daily PO. Her family history is: Mother: Type 1 Diabetes, COPD and Father: Hypertension

Recent Labs:

3 hour glucose tolerance test:
Fasting: 85 mg/dL
1Hour: 170 mg/dL
2Hour: 160 mg/dL
3 Hour: 152 mg/dL
She is currently being diagnosed today with Gestational Diabetes Mellitus in pregnancy. (Bonnet, 2022)

– Review the case, what would you recommend for first-line treatment for this patient?

– What are the pharmacokinetics and mechanism of action of the therapy you have chosen for this patient?

– Discuss the safety profile of the medication during pregnancy.

– What are the risks of breastfeeding on this medication?

 

SCIENCE
HEALTH SCIENCE
NURSING
NURS 457

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