(A+보장) 산부인과 약물 요약 정리

본 내용은 " (A+보장) 산부인과 약물 요약 정리 " 의 원문 자료에서 일부 인용된 것입니다. 2023.02.06

문서 내 토픽

• 1. turbutaline

  자궁 수축 억제 효과가 있으며, 2.5mg을 경구 투여하며 3회 투여합니다. 부작용으로는 오심, 구토, 두통, 현기증, 불안 등이 있습니다.

• 2. ritodirine

  자궁 수축 억제 효과가 있으며, 0.05mg(0.15~0.3mg)을 정맥 투여하며 1회 투여합니다. 부작용으로는 빈맥, 심근허혈, 근육통, 발진, 구역, 구토 등이 있습니다.

• 3. MgSo4

  자궁 수축 억제 효과가 있으며, 4~6mg을 정맥 투여하며 1회 투여합니다. 부작용으로는 기면, 쇠약감, 열감, 홍조, 두통, 호흡 마비 등이 있습니다.

• 4. atosiban

  자궁 수축 억제 효과가 있으며, 6.75mg → 18mg → 6mg을 정맥 투여하며 1회 투여합니다. 부작용으로는 두통, 현기증, 발열, 구토, 빈맥, 저혈압 등이 있습니다.

• 5. betamethasone

  태아 폐성숙 유도 효과가 있으며, 2~8mg을 근육 투여하며 3~6시간마다 투여합니다. 부작용으로는 홍조, 녹내장, 발진, 가려움 등이 있습니다.

• 6. dexamethasone

  태아 폐성숙 유도 효과가 있으며, 2~8mg을 근육 투여하며 3~6시간마다 투여합니다. 부작용으로는 우울, 불면, 두통, 어지러움 등이 있습니다.

• 7. hydralazine

  혈압 하강 효과가 있으며, 20mg을 정맥 투여하며 1회 투여합니다. 부작용으로는 SLE, 빈맥, 혈압 상승, 변비, 구토, 발열 등이 있습니다.

• 8. nifedipine

  혈압 하강 효과가 있으며, 10mg을 경구 투여하며 3회 투여합니다. 부작용으로는 황달, 배뇨 곤란, 흉통, 심계항진, 두통 등이 있습니다.

• 9. labetalol

  혈압 하강 효과가 있으며, 20mg을 정맥 투여하며 1회 투여합니다. 부작용으로는 현기증, 두통, 불면, 우울, 졸음, 마비, 발열 등이 있습니다.

• 10. oxytocin

  자궁 수축 효과가 있으며, 20~40IU를 정맥 투여하며 1회 투여합니다. 부작용으로는 쇼크, 자궁파열, 경관 열상, 발진 등이 있습니다.

Easy AI와 토픽 톺아보기

• 1. turbutaline

  Turbutaline is a beta-2 adrenergic agonist that is commonly used as a tocolytic agent to delay preterm labor. It works by relaxing the uterine smooth muscle, thereby reducing uterine contractions. While turbutaline has been shown to be effective in delaying preterm birth, it is associated with several potential side effects, including maternal tachycardia, tremors, and hyperglycemia. Additionally, there is some concern about the long-term effects of turbutaline on the fetus, as it can cross the placenta and potentially affect fetal development. Overall, the use of turbutaline should be carefully weighed against the risks and benefits for each individual patient, and its use should be closely monitored by healthcare providers.

• 2. ritodirine

  Ritodirine is another beta-2 adrenergic agonist that is used as a tocolytic agent to delay preterm labor. Like turbutaline, ritodirine works by relaxing the uterine smooth muscle and reducing uterine contractions. Ritodirine has been shown to be effective in delaying preterm birth, but it is also associated with several potential side effects, including maternal tachycardia, hypotension, and hyperglycemia. Additionally, there is some concern about the long-term effects of ritodirine on the fetus, as it can cross the placenta and potentially affect fetal development. Overall, the use of ritodirine should be carefully considered and monitored by healthcare providers, taking into account the potential risks and benefits for each individual patient.

• 3. MgSo4

  Magnesium sulfate (MgSo4) is a medication that is commonly used in obstetrics for several indications, including the prevention and treatment of eclampsia, the treatment of preterm labor, and the neuroprotection of the fetus in the setting of preterm birth. MgSo4 works by inhibiting the release of acetylcholine at the neuromuscular junction, thereby reducing uterine contractions and preventing seizures. While MgSo4 has been shown to be effective in these clinical scenarios, it is also associated with several potential side effects, including maternal hypotension, respiratory depression, and neuromuscular blockade. Healthcare providers must carefully monitor patients receiving MgSo4 and adjust the dosage accordingly to minimize the risk of these adverse effects.

• 4. atosiban

  Atosiban is a synthetic oxytocin receptor antagonist that is used as a tocolytic agent to delay preterm labor. Unlike the beta-2 adrenergic agonists, atosiban works by directly inhibiting the action of oxytocin, which is a key hormone involved in the initiation of uterine contractions. Atosiban has been shown to be effective in delaying preterm birth, and it is generally well-tolerated, with a lower incidence of maternal side effects compared to the beta-2 agonists. However, there is still some concern about the potential long-term effects of atosiban on the fetus, as it can cross the placenta and potentially affect fetal development. Overall, the use of atosiban should be carefully considered and monitored by healthcare providers, taking into account the potential risks and benefits for each individual patient.

• 5. betamethasone

  Betamethasone is a synthetic glucocorticoid that is commonly used in obstetrics to promote fetal lung maturation in the setting of preterm birth. When administered to the mother, betamethasone crosses the placenta and reaches the fetus, where it stimulates the production of surfactant and other proteins that are essential for proper lung development. This can significantly improve the chances of survival and reduce the risk of respiratory distress syndrome in preterm infants. Betamethasone has been extensively studied and is considered a safe and effective intervention for the prevention of neonatal complications associated with preterm birth. Healthcare providers should carefully consider the timing and dosage of betamethasone administration to optimize the benefits for the mother and fetus.

• 6. dexamethasone

  Dexamethasone is another synthetic glucocorticoid that is used for similar purposes as betamethasone in the setting of preterm birth. Like betamethasone, dexamethasone crosses the placenta and reaches the fetus, where it stimulates the production of surfactant and other proteins that are essential for proper lung development. Dexamethasone has also been extensively studied and is considered a safe and effective intervention for the prevention of neonatal complications associated with preterm birth. While there may be some minor differences in the pharmacokinetic and pharmacodynamic properties of betamethasone and dexamethasone, both medications have been shown to be equally effective in promoting fetal lung maturation and improving neonatal outcomes. Healthcare providers should carefully consider the specific clinical scenario and patient factors when deciding between these two glucocorticoid options.

• 7. hydralazine

  Hydralazine is a vasodilator that is commonly used in the management of hypertensive disorders of pregnancy, such as preeclampsia and gestational hypertension. By relaxing the vascular smooth muscle, hydralazine helps to lower blood pressure and reduce the risk of maternal complications associated with uncontrolled hypertension. Hydralazine has been shown to be effective in rapidly lowering blood pressure in these clinical scenarios, and it is generally well-tolerated, with a relatively low incidence of side effects. However, healthcare providers must carefully monitor patients receiving hydralazine and adjust the dosage accordingly to avoid excessive blood pressure lowering, which can lead to maternal hypotension and other adverse effects. Overall, the use of hydralazine should be considered as part of a comprehensive management plan for hypertensive disorders of pregnancy, taking into account the potential risks and benefits for each individual patient.

• 8. nifedipine

  Nifedipine is a calcium channel blocker that is also used in the management of hypertensive disorders of pregnancy, such as preeclampsia and gestational hypertension. Like hydralazine, nifedipine works by relaxing the vascular smooth muscle, thereby lowering blood pressure and reducing the risk of maternal complications associated with uncontrolled hypertension. Nifedipine has been shown to be effective in lowering blood pressure in these clinical scenarios, and it is generally well-tolerated, with a relatively low incidence of side effects. However, healthcare providers must carefully monitor patients receiving nifedipine and adjust the dosage accordingly to avoid excessive blood pressure lowering, which can lead to maternal hypotension and other adverse effects. Overall, the use of nifedipine should be considered as part of a comprehensive management plan for hypertensive disorders of pregnancy, taking into account the potential risks and benefits for each individual patient.

• 9. labetalol

  Labetalol is a combined alpha- and beta-adrenergic blocker that is commonly used in the management of hypertensive disorders of pregnancy, such as preeclampsia and gestational hypertension. Labetalol works by blocking the effects of catecholamines, which are responsible for the increased vascular resistance and blood pressure seen in these conditions. Labetalol has been shown to be effective in lowering blood pressure in these clinical scenarios, and it is generally well-tolerated, with a relatively low incidence of side effects. However, healthcare providers must carefully monitor patients receiving labetalol, as it can potentially cause maternal bradycardia, hypotension, and other adverse effects. Overall, the use of labetalol should be considered as part of a comprehensive management plan for hypertensive disorders of pregnancy, taking into account the potential risks and benefits for each individual patient.

• 10. oxytocin

  Oxytocin is a naturally occurring hormone that plays a crucial role in the initiation and progression of labor. Synthetic oxytocin is commonly used in obstetrics to induce or augment labor, as well as to manage postpartum hemorrhage. Oxytocin works by stimulating uterine contractions, which can help to facilitate the delivery of the baby. While oxytocin is generally considered a safe and effective intervention, it is important for healthcare providers to carefully monitor its use and adjust the dosage accordingly to minimize the risk of adverse effects, such as uterine hyperstimulation, fetal distress, and postpartum hemorrhage. Additionally, the use of oxytocin should be tailored to the individual patient's clinical scenario and preferences, taking into account the potential risks and benefits. Overall, the judicious use of oxytocin can be a valuable tool in the management of labor and delivery, but it requires close monitoring and careful consideration of the patient's unique circumstances.