Documente Academic
Documente Profesional
Documente Cultură
DURING PREGNANCY
Developed By
D. Ann Currie , R.N.,M.S.N.
PHYSIOLOGICAL CHANGES DURING
PREGNANCY AND THEIR IMPACT ON
DRUG THERAPY
EVERY SYSTEM IN THE BODY IS
EFFECTED BY PREGNANCY
PHARMACOKENETICS OF DRUGS IS
EFFECTED BY PREGNANCY
PHARMACOKENETICS OF
DRUGS DURING
PREGNANCY
ABSORPTION- DECREASED GI
MOTILITY CAUSES INCREASED DRUG
ABSORPTION.
DISTURBUTION- PROTIEN BINDING IS
DECREASED CAUSES INCREASED FREE
DRUG TO BE AVAILABLE.
METABOLISM-INCREASED HEPATIC
METABOLISM OCCURS FOR SOME
DRUGS
PHARMACOKENETICS
INCIDENCE OF FUNCTIONAL
ABNORMALITIES IS NOT KNOWN-
GROWTH RESTRICTIONS, MENTAL
RETARDATION, AND LEARNING
DISABLITIES
SOME ABNORMALITIES HAVE
MULTIPLE CAUSES-GENETIC
FACTORS, ENVIRONMENTAL
FACTORS, CHEMICALS OR DRUGS.
TERATOGENIC
TERATOGENESIS
TERAS-”MONSTER”
GENSIS-”PRODUCING”
BIRTH DEFECTS/DISTORTION OF
GROSS ANATOMY.
EXAMPLES- CLEFT LIP/PALATE,
CLUBFOOT, NEURAL TUBAL DEFECTS,
MISSING OR MALFORMED
LIMBS/FINGERS.
TERATOGENIC
ALSO-BEHAVORIAL AND/ OR
BIOCHEMICAL ABNORMALITIES.
TERATOGENESIS MAYBE DIRECT-IE-
MALFORMATIONS OF STRUCTURES
OR INDIRECT-SUCH AS INTERFERING
WITH O2 OR NUTRIENTS.
TERATOGENIC
BENEFITS
COMMON SUBSTANCES & OTC DRUGS
TO AVOID IN PREGNANCY-
ASA,ETOH,INCREASED DOSES OF
MULTVITAMINS,CAFFIENE,CIGARETTE
SMOKING,ETC.
AVOID SELF TX-OTC’S, DRUGS FORM
MEXICO.
ADVOCATE FOR CLIENTS AND
GENERAL PUBLIC.
* SUPPORT*
ASSIST WITH COPING IF CLIENT HAS
TAKEN A TERATOGENIC AGENT..WITH
GUILT OR FEAR…ASSOCIATED WITH
DRUGS TAKEN IN PREGNANCY.
PREGNANT CLIENT’S
BILL OF RIGHTS
“RIGHT TO KNOW”
For individual drugs see
handout.