[내과, 산부인과]임신시 항고혈압제와 면역억제제 사용
- 최초 등록일
- 2006.10.28
- 최종 저작일
- 2006.10
- 19페이지/ MS 파워포인트
- 가격 2,000원
소개글
임신시에 항고혈압 약제 사용와 면역억제제 사용에 대해 발표한
파워 포인터 입니다.
uptodate 14.2 바탕으로 작성하였습니다.
목차
immunosuppressive & antihypertensive drugs in pregnancy
1. immunosuppressive drugs in pregnancy
GLUCOCORTICOIDS
CYCLOPHOSPHAMIDE
AZATHIOPRINE
CYCLOSPORINE
TACROLIMUS
MYCOPHENOLATE MOFETIL
OKT3
CONCLUSION
2.Treatment of hypertension in pregnancy
Blood pressure goal
management of choice
Breastfeeding mothers
본문내용
CYCLOPHOSPHAMIDE <br />
<br />
1st trimester <br />
: cyclophosphamide embryopathy <br />
– growth restriction, ear & facial abnormalities, absence of digits, hypoplastic limbs <br />
<br />
2nd,3rd trimester <br />
: 2 women treated for SLE fetal demise. (Clowse et al. 2005)<br />
36 women treated for breast cancer without reported adverse pregnancy or neonatal events (Berry et al. 1999) <br />
<br />
Recommendations : avoid during preg. except life-threatening, no alternative. <br />
breast feeding is prohibited <br />
preg. test before theraphy if, child bearing age<br />
FDA use in pregnancy rating - D <br />
<br />
<br />
AZATHIOPRINE <br />
<br />
64 ~ 93% administered to mothers appears in fetal blood as inactive metabolites.<br />
- fetal liver lack of inosinate pyrophosphorylase<br />
<br />
lower birth wt., prematurity, jaundice, RDS, aspiration, <br />
dose-related myelossupresion<br />
<br />
Recommendations : can be used ,necessary during pregnancy. <br />
feeding no recommended d/t excreted in to breast<br />
<br />
FDA use in pregnancy rating - D<br />
참고 자료
UPTODATE 14.2 Use of immunosuppressive drugs in pregnancy
Treatment of hypertension in pregnancy