Week 3 Powerpoint[1]

KRISTEN DOMINIK, KELLY LAWN, KELLY MAGOFFIN LEIGH SMYCZEK, JENNIFER TOWNSELL Case 3 Preconception Care #2

First Prenatal Visit for the First Trimester ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Medical Management of CR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Weight Gain Monitoring ,[object Object],[object Object],Pre-pregnancy weight Recommended weight gain Underweight (BMI < 18.5) 28 to 40 pounds Normal Weight (BMI 18.5 to 24.9) 25 to 35 pounds Overweight (BMI 25 to 29.9) 15 to 25 pounds Obese (BMI >30) 11 to 20 pounds

Weight Gain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Weight Breakdown ,[object Object]

Gaining Too Much Weight ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Not Gaining Enough Weight ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Obesity and Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Guidelines For Weight Gain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Eating for two… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Increase Calories the Right Way ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Well Rounded Diet ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What Not To Eat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exercise ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What Not to Do ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is Preeclampsia? ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms

Increased Risk for Preeclampsia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Is CR Preeclamptic? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Lisinopril and Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What Is Used To Treat Preeclampsia? ,[object Object],[object Object],[object Object]

What Medications Are Used To Treat Preeclampsia? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What Are Other Ways To Treat Preeclampsia? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What Is Morning Sickness? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Is Morning Sickness Normal? ,[object Object],[object Object],[object Object]

Do’s And Don’ts Of Morning Sickness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Does Morning Sickness Cause Any Harm To The Baby? ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Difference Between Morning Sickness And Hyperemesis Gravidarum

What Is Hyperemesis Gravidarum (HG)? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Signs And Symptoms Of HG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What Are Some Complications Of HG? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How Does HG Threaten Daily Living? ,[object Object],[object Object],[object Object],[object Object],[object Object]

What Are The Risk Factors For HG? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Protocol ,[object Object],[object Object],[object Object]

Medical Treatment ,[object Object],[object Object],[object Object],[object Object]

Serotonin Antagonists ,[object Object],[object Object],Highly selective antagonists of 5-HT3 receptors in the vagus, chemotrigger zone and gut. Mostly Class B drugs Ondansetron (Zofran) Granisetron (Kytril) Mirtazapine (Remeron) Palonosetron (Aloxi) Dolasetron (Anzemet)

Antihistamines ,[object Object],[object Object],Dimenhydrinate (Dramamine) Doxylamine (Diclectin) Diphenhydramine (Benadryl) Hydroxyzine (Vistaril) Trimethobenzamide (Tigan)

Antireflux Medications ,[object Object],[object Object],Ranitidine (Zantac) Famotidine (Pepcid) Lansoprazole (Prevacid) Cimetidine not recommended during pregnancy due to antiandrogenic effects in humans.

Metoclopramide (Reglan) ,[object Object],[object Object],[object Object],[object Object],Blocks dopamine receptors in the CTZ and increases the CTZ threshold & decreases the sensitivity of visceral nerves that transmit afferent impulses from the GI tract to the vomiting center. Class B Drug

Corticosteroids ,[object Object],[object Object],[object Object],[object Object],[object Object],Methylprednisolone Prednisone Hydrocortisone

Pharmacologic Therapy for Nausea and Vomiting in Pregnancy ,[object Object],Medication Dosage Preg. Category Pyridoxine 25mg PO TID A Doxylamine 25mg PO QD * Antiemetics Chlorpromazine 10-25mg PO 2-4x/day C Prochlorperazine 5-10mg PO 3-4x/day C Promethazine 12.5-25mg PO Q4-6H C Trimethobenzamide 250mg PO 3-4x/day C Ondansetron 8mg PO 2-3x/day B Droperidol 0.5-2mgIV or IM Q3-4H C Antihistamines Diphenhydramine 25-50mg PO Q4-8H B Meclizine 25mgPO Q4-6H B Dimenhydrinate 50-100mg PO Q4-6H B Motility Drug Metoclopramide 5-10mg PO 3x/day B Corticosteroid Methylprednisolone 16mg PO 3x daily; then taper C

Complementary and Alternative Medicine ,[object Object],[object Object],[object Object]

Non-Pharmacological Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Week 3 Powerpoint[1]

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Week 3 Powerpoint[1]