Pregunta
upstudy study bank question image url

ADSF 101 - WRITTEN ASSIGNMENT DUE DATE: 18.03 2025 TOPIC: PHARMACOLOOY Read the scenario below and anvwer the quesbons that follows; A 32 -year-old Ms. P, at 10 weoks gestation has a hisfory of epllepsy, ype 2 diabedy mellitus, and chronic hypertension bhe has been on phenyioin, metformin, and enalaprll before pregnangy During her fimt antenatal visit, the midwife identifes polential rieks assoclated with t current medications. 1 NTYODUCIION 1 Describe teratogenic risks. 2. Analyse the feratogenic risks of these medications on the developing fetus 3. Evaluate safer pharmacological ehematives that can be prescribed lo mana her conditions. 4. Justify your recommendations using Gvidence-based pharmacotherapy principles, incorporating considerations of pharmacokineties, foetal safes and relevant clinical guidelines 5. CONCLUSSION

Ask by Craig Wood. in South Africa
Mar 16,2025

Solución de inteligencia artificial de Upstudy

Respuesta verificada por el tutor

Responder

**Recommendations for Safer Medications During Pregnancy** 1. **Epilepsy (Phenytoin):** - **Alternative:** Lamotrigine - **Reason:** Lamotrigine has a lower risk of causing congenital malformations compared to phenytoin. 2. **Type 2 Diabetes Mellitus (Metformin):** - **Alternative:** Insulin - **Reason:** Insulin is the standard and safest treatment for managing diabetes during pregnancy. 3. **Chronic Hypertension (Enalapril):** - **Alternatives:** Labetalol or Methyldopa - **Reason:** These medications are safer for the developing fetus compared to enalapril. **Justification:** - **Pharmacokinetics:** The alternatives have lower placental transfer or are well-understood in pregnancy. - **Fetal Safety:** They minimize risks associated with teratogenicity and other developmental issues. - **Guidelines:** Recommendations align with current clinical guidelines to ensure both maternal and fetal safety. **Conclusion:** Switching to lamotrigine for epilepsy, insulin for diabetes, and labetalol or methyldopa for hypertension during pregnancy is recommended to enhance fetal safety and adhere to evidence-based practices.

Solución

¡Inicia sesión para desbloquear respuestas gratis!

Una plataforma de aprendizaje en la que confían millones de estudiantes y profesores reales.

star-icon Descubrir

Respondido por UpStudy AI y revisado por un tutor profesional

The Deep Dive

Teratogenic risks refer to the potential adverse effects that certain drugs or substances can have on the developing fetus, particularly during the critical periods of embryonic and fetal development. These risks can lead to structural, functional, or developmental anomalies in the offspring. The degree of risk varies depending on the timing of exposure, the dosage, and the specific drug used, highlighting the importance of careful medication management in pregnant individuals. When evaluating the teratogenic risks associated with phenytoin, metformin, and enalapril, several concerns arise. Phenytoin, commonly used for epilepsy, can cause fetal hydantoin syndrome, characterized by growth deficiencies and facial dysmorphism. Metformin, prescribed for type 2 diabetes, is generally considered safer but still must be monitored for potential metabolic implications. Enalapril, an ACE inhibitor for hypertension, poses risks such as fetal renal dysfunction and oligohydramnios. It’s crucial to weigh these factors against the need for maternal health management in the context of pregnancy.

preguntas relacionadas

IVIs A, G1 P0 attended ANC clinic for the first time at 22 weeks pregnant she reported yellow mucopurulent discharge, and dysuria, she further reported that she noticed a red sore in the vaginal though not painful, swollen gland on the groin and the vulval warts, all have started 2 weeks ago She was accompanied by Ms D , G2 P1 who is also pregnant at 24 weeks. When interviewed, she reported purulent, offensive greenish and watery discharge, lower abdominal pains, backache frequency of unine, severe dysuria, occasional bleeding, vulval sweling and dyspareunia at times, all started 1-2 weeks ago Mrs A also stated that she was never treated for STIs before and her husband never shared if he has. They never used protection as she wanted to concelve Ms D mentioned that she was treated for STI before and that the current pregnancy is from different partner Both of them were examined, swollen, inflamed cervix with erosion was observed from Mrs A and it was observed that Ms D's bleeding is from the cervix and was no vaginal infection. The following laboratory tests were done for both of them: Blood for RPR, cervical and vaginal swab, including urine specimen for culture were collected from Mrs A and vaginal smear \& fluid, cervical swab and urine specimen were also collected from Ms D. The following organisms were identified from their specimens Mrs A, Treponema pallidum, Human papilloma virus and Chlamydia Trachomatis, Ms D, Nelsseria gonorrhoeae, Trichomonas vaginalis and Candida albicans. Treatment was recommended for both of them to prevent complications INTRODUCTION 11. Define the concepts relevant to STIs. 1.2. Identify STIs revealed in Mrs A and Ms D's results 1.3. Describe the diagnostic approaches to be applied in diagnosing Mrs A an Ms D's 1.4. Describe the protocol tool to be applied for screening STIs in pregnancy 1.5. Describe the psychological aspects that may affect both women in the scenario post diagnoses 1.6. Identify the risk factors for Mrs A and Ms D that are associated with STIs pregnancy 1.7. Discuss the preventive measures and related complications for STIs 18. Describe the management for Mrs A and Ms D's conditions. 1.9 CONCLUTION
¡Prueba Premium ahora!
¡Prueba Premium y hazle a Thoth AI preguntas de matemáticas ilimitadas ahora!
Quizas mas tarde Hazte Premium
Estudiar puede ser una verdadera lucha
¿Por qué no estudiarlo en UpStudy?
Seleccione su plan a continuación
Prima

Puedes disfrutar

Empieza ahora
  • Explicaciones paso a paso
  • Tutores expertos en vivo 24/7
  • Número ilimitado de preguntas
  • Sin interrupciones
  • Acceso completo a Respuesta y Solución
  • Acceso completo al chat de PDF, al chat de UpStudy y al chat de navegación
Básico

Totalmente gratis pero limitado

  • Solución limitada
Bienvenido a ¡Estudia ahora!
Inicie sesión para continuar con el recorrido de Thoth AI Chat
Continuar con correo electrónico
O continuar con
Al hacer clic en "Iniciar sesión", acepta nuestros términos y condiciones. Términos de Uso & Política de privacidad