Pharmacology For Student Midwives Test Questions And Answers 2023/2024

How do opioids generally work? {Ans: -act on cns - brain and spinal cord -attach to opioid receptors (mu1 mu 2 kappa, delta, nociceptin)}What drug is used in the prevention of Neonatal Conjunctivitis? {Ans: 0.5 % erythromycin, silver nitrate, tetracycline, chloramphenicol}What are 2 drugs used to control PPH? {Ans: Oxytocin (first line) Ergonamine (second choice)}Why will oxytocin not work well (possibly not at all) to induce a preterm labour? {Ans: Because the potency and response to Oxytocin increases during late pregnancy}What are the benefits and risks of galactogogues? {Ans: increases milk supply drowsiness, fatigue, depression, jittery feeling, abdo cramps, renal and hepatic impairment possible, cardian arrythmias but in older pt's}What is hydromorphone? (dilaudid) {Ans: - semi-synthetic opioid -6 x as potent as morphine -used in PP analgesia -less N&V goes to BM in small concentrations -has no active metabolite -has fewer side effects than morphine}Which glands are affected by FSH and LH? {Ans: testes and ovaries}Name 2 antidepressants that are contraindicated in PG? {Ans: Paxil & citalopram}What is one CON of IV route of drug administration? {Ans: pt discomfort, risk of infection, potential for reaction}How does Hale classify drug safety?