Medications, Nicotine & Marijuana in Pregnancy

Total Page:16

File Type:pdf, Size:1020Kb

Medications, Nicotine & Marijuana in Pregnancy The following is a list of over-the- COMMON COLDS PAIN counter medications that your Increase oral fluids/cold mist humidifier * • Tylenol providers have approved for use Saline nasal spray during pregnancy. If you have • Robitussin HEARTBURN diabetes or hypertension, some • Sudafed (do not use if you have high • Maalox choices may not be appropriate. blood pressure) • Mylanta Please call the office to see which • Sugar free throat lozenges • Rolaids medication would be appropriate. • Benadryl • Tums • Mucinex • Pepcid/Famotidine • Actifed • Nexium/Omeprazole • Zyrtec • Claritin ITCHING • Benadryl NAUSEA & VOMITING • Topical Caladryl lotion • Vitamin B6 50 mg tab, 3 times day • Aveeno • Unisom 25 mg tab. Can be cut in half and taken ½ tab 3 times a day VAGINAL YEAST INFECTION • Unisom 25 mg at night • Monistat 7 day formula • Sea sickness band • Terazol • Dramamine HEMORRHOIDS CONSTIPATION • Tucks pads Increase oral fluids & fiber intake (bran, green • Anusol HC leafy vegetables, and apples) • Preparation H • Metamucil • Fibercon • Milk of Magnesia • Colace • Miralax FLATULENCE • Mylicon DIARRHEA • Immodium Keep you and your baby safe. Stay away from all smoke. There’s no safe level of exposure for your baby. All forms of smoke are harmful. For a healthier baby and a healthier you, choose to be free from tobacco, e-cigarettes, marijuana, and smoke. Set a “NO SMOKING” rule for your home. Don’t let people smoke around your baby. Tobacco E-cigarettes • Cigarettes and other • Most e-cigarettes contain forms of tobacco are nicotine and other harmful dangerous to the health chemicals. of everyone. Nicotine • Don’t use e-cigarettes or allow from tobacco passes others to use e-cigarettes around through breastmilk. your baby. • Secondhand smoke and smoking while feeding Marijuana (medical and recreational) your baby • Any kind of smoke is a health exposes baby Keep risk. to nicotine smoke • The active ingredient in and other outside the marijuana (THC) passes through harmful home and car. breastmilk. To learn more: chemicals. learnaboutmarijuanawa.org Stay away from alcohol and street drugs. If you need help, talk with your doctor or call 211 the Washington HelpLine, or visit win211.org Never leave your child with people who are drinking or using drugs. For more information: If you smoke, get help to quit. Talk with your doctor or call the Washington State Quitline at 1-800-QUIT-NOW (1-800-784-8669) or visit SmokeFreeWashington.com Struggling with substance use? See Substance Free for My Baby: here.doh.wa.gov/materials/substance-free-for-my-baby 19 WashWIC_NewMom_BrochEng.indd 19 11/20/14 11:02 AM Marijuana, Pregnancy, and Breastfeeding Marijuana is now legal for adults over age 21 in Washington, but this does not mean it is safe to use during pregnancy or while breastfeeding. Marijuana and Your Baby Keeping Your Baby Safe Pregnancy. The chemical in marijuana, Avoid accidental poisonings. Store all marijuana Tetrahydrocannabinol (THC), is stored in body in a locked area. Marijuana can make your child fat. Your developing baby’s brain and body are very sick and could cause trouble staying awake made up of a lot of fat and store THC for a long and difficulty breathing, which can result in death. time. Exposure to THC before birth has been If your child eats marijuana, call the Poison shown to cause decreased growth and lower IQ Control Hotline, go to the ER, or call 911. with associated attention, memory, and learning problems. Breastfeeding. THC passes through breast milk to your baby. THC is stored in the breast milk fat so you cannot “pump and dump” to clear your milk after marijuana use. Prolonged childhood Do not allow marijuana use around your baby. exposure to THC is linked to behavior problems Marijuana smoke not only contains cancer- (impulsive, aggressive, and antisocial) and mental causing chemicals, but will also make your baby illness (anxiety, depression, and schizophrenia). high. It is not safe for anyone to be high while caring for your baby. Never let your baby ride in There is no safe amount of marijuana use a car with a driver who is high. during pregnancy or breastfeeding. Resources Talk to your doctor: There are safer medications than marijuana to use during pregnancy and breastfeeding to treat symptoms such as nausea, vomiting, pain, anxiety, and depression. Educate yourself: Online resources include www.learnaboutmarijuanawa.org and www.colorado.gov/marijuana to locate the Monitoring Health Concerns Related to Marijuana in Colorado: 2014 Report, with a special section on marijuana use during pregnancy and breastfeeding. Get help quitting marijuana use: Call the Washington Recovery Helpline at 1-886-789-1511 .
Recommended publications
  • Acid Reflux and Oesophagitis Gastro-Oesophageal Reflux Disease (GORD)
    Acid reflux and oesophagitis Gastro-oesophageal reflux disease (GORD) Acid reflux is when acid from the stomach leaks up into the gullet (oesophagus). This may cause heartburn and other symptoms. A medicine which prevents your stomach from making acid is a common treatment and usually works well. Some people take short courses of treatment when symptoms flare up. Some people need long term daily treatment to keep symptoms away. Understanding the oesophagus and stomach When we eat, food passes down the oesophagus (gullet) into the stomach. Cells in the lining of the stomach make acid and other chemicals that help to digest food. Stomach cells also make mucus that protects them from damage from the acid. The cells lining the oesophagus are different and have little protection from acid. There is a circular bank of muscle (a ‘sphincter’) at the junction between the oesophagus and stomach. This relaxes to allow food down but then normally tightens up and stops food and acid leaking back up (refluxing) into the oesophagus. In effect the sphincter acts like a valve. What are reflux and oesophagitis? Acid reflux is when some acid leaks up (refluxes) into the oesophagus. Oesophagitis means inflammation of the lining of the oesophagus. Most cases of oesophagatis are due to reflux of stomach acid which irritates the inside lining of the oesophagus. The lining of the oesophagus can cope with a certain amount of acid. However, it is more sensitive to acid in some people. Therefore, some people develop symptoms Source: Endoscopy Reference No: 6556-1 Issue date: 11/9/19 Review date: 11/9/22 Page 1 of 6 with only a small amount of reflux.
    [Show full text]
  • Medicine Hx- Gastrointestinal System History of “Heartburn”
    Medicine Hx- Gastrointestinal System History of “Heartburn” A. Overview: GORD is common, and is said to exist when reflux of stomach contents (acid ± bile) causes troublesome symptoms (≥2 heartburn episodes/wk) and/or complications. If reflux is prolonged, it may cause oesophagitis, benign oesophageal stricture or Barrett’s oesophagus. Causes: lower oesophageal sphincter hypotension, hiatus hernia, loss of oesophageal peristaltic function, abdominal obesity, gastric acid hypersecretion, slow gastric emptying, overeating, smoking, alcohol, pregnancy, surgery in achalasia, drugs (tricyclics, anticholinergics, nitrates), systemic sclerosis. Symptoms: 1. Heartburn (burning, retrosternal discomfort after meals, lying, stooping or straining, relieved by antacids) 2. Belching; acid brash (acid or bile regurgitation) 3. Waterbrash (Increased salivation: “My mouth fills with saliva”) 4. Odynophagia (painful swallowing, eg from oesophagitis or ulceration). 5. Extra-oesophageal: Nocturnal asthma, chronic cough, laryngitis (hoarseness, throat clearing), sinusitis. (From Oxford Handbook Of Clinical Medicine p244) Don’t confuse between acid regurgitation and waterbrash: -Acid regurgitation: the patient experiences a sour or bitter tasting fluid coming up into the mouth. This symptom strongly suggests that the reflux is occurring. -Waterbrash: excessive secretion of saliva into the mouth may occur, uncommonly, in patients with peptic ulcer disease or oesophagitis. The patient experience tasteless or salty fluid his mouth. B. Differential diagnosis:
    [Show full text]
  • 2.04.26 Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Irritable Bowel Syndrome
    MEDICAL POLICY – 2.04.26 Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Irritable Bowel Syndrome BCBSA Ref. Policy: 2.04.26 Effective Date: July 1, 2021 RELATED MEDICAL POLICIES: Last Revised: June 8, 2021 None Replaces: N/A Select a hyperlink below to be directed to that section. POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | CODING RELATED INFORMATION | EVIDENCE REVIEW | REFERENCES | HISTORY ∞ Clicking this icon returns you to the hyperlinks menu above. Introduction Intestinal dysbiosis is a condition that occurs when the microorganisms in the digestive tract are out of balance. This condition is believed to cause diseases of the digestive tract, including poor nutrient absorption, overgrowth of certain bacteria, and irritable bowel syndrome (IBS). Symptoms of these digestive problems are similar and may include: abdominal pain, excess gas, bloating, and changes in bowel movements (constipation or diarrhea, or both). One method of diagnosing digestive disorders is by testing a fecal sample. Using fecal analysis to diagnose intestinal dysbiosis, IBS, malabsorption, or small intestinal overgrowth of bacteria is unproven (investigational). More studies are needed to see if this testing improves health outcomes. Note: The Introduction section is for your general knowledge and is not to be taken as policy coverage criteria. The rest of the policy uses specific words and concepts familiar to medical professionals. It is intended for providers. A provider can be a person, such as a doctor, nurse, psychologist, or dentist. A provider also can be a place where medical care is given, like a hospital, clinic, or lab. This policy informs them about when a service may be covered.
    [Show full text]
  • Abdominal Pain - Gastroesophageal Reflux Disease
    ACS/ASE Medical Student Core Curriculum Abdominal Pain - Gastroesophageal Reflux Disease ABDOMINAL PAIN - GASTROESOPHAGEAL REFLUX DISEASE Epidemiology and Pathophysiology Gastroesophageal reflux disease (GERD) is one of the most commonly encountered benign foregut disorders. Approximately 20-40% of adults in the United States experience chronic GERD symptoms, and these rates are rising rapidly. GERD is the most common gastrointestinal-related disorder that is managed in outpatient primary care clinics. GERD is defined as a condition which develops when stomach contents reflux into the esophagus causing bothersome symptoms and/or complications. Mechanical failure of the antireflux mechanism is considered the cause of GERD. Mechanical failure can be secondary to functional defects of the lower esophageal sphincter or anatomic defects that result from a hiatal or paraesophageal hernia. These defects can include widening of the diaphragmatic hiatus, disturbance of the angle of His, loss of the gastroesophageal flap valve, displacement of lower esophageal sphincter into the chest, and/or failure of the phrenoesophageal membrane. Symptoms, however, can be accentuated by a variety of factors including dietary habits, eating behaviors, obesity, pregnancy, medications, delayed gastric emptying, altered esophageal mucosal resistance, and/or impaired esophageal clearance. Signs and Symptoms Typical GERD symptoms include heartburn, regurgitation, dysphagia, excessive eructation, and epigastric pain. Patients can also present with extra-esophageal symptoms including cough, hoarse voice, sore throat, and/or globus. GERD can present with a wide spectrum of disease severity ranging from mild, intermittent symptoms to severe, daily symptoms with associated esophageal and/or airway damage. For example, severe GERD can contribute to shortness of breath, worsening asthma, and/or recurrent aspiration pneumonia.
    [Show full text]
  • Acute Abdomen
    Acute abdomen: Shaking down the Acute abdominal pain can be difficult to diagnose, requiring astute assessment skills and knowledge of abdominal anatomy 2.3 ANCC to discover its cause. We show you how to quickly and accurately CONTACT HOURS uncover the clues so your patient can get the help he needs. By Amy Wisniewski, BSN, RN, CCM Lehigh Valley Home Care • Allentown, Pa. The author has disclosed that she has no significant relationships with or financial interest in any commercial companies that pertain to this educational activity. NIE0110_124_CEAbdomen.qxd:Deepak 26/11/09 9:38 AM Page 43 suspects Determining the cause of acute abdominal rapidly, indicating a life-threatening process, pain is often complex due to the many or- so fast and accurate assessment is essential. gans in the abdomen and the fact that pain In this article, I’ll describe how to assess a may be nonspecific. Acute abdomen is a patient with acute abdominal pain and inter- general diagnosis, typically referring to se- vene appropriately. vere abdominal pain that occurs suddenly over a short period (usually no longer than What a pain! 7 days) and often requires surgical interven- Acute abdominal pain is one of the top tion. Symptoms may be severe and progress three symptoms of patients presenting in www.NursingMadeIncrediblyEasy.com January/February 2010 Nursing made Incredibly Easy! 43 NIE0110_124_CEAbdomen.qxd:Deepak 26/11/09 9:38 AM Page 44 the ED. Reasons for acute abdominal pain Visceral pain can be divided into three Your patient’s fall into six broad categories: subtypes: age may give • inflammatory—may be a bacterial cause, • tension pain.
    [Show full text]
  • Student Health Center NURSE Abdominal and Urinary Problems Upper Abdomen • Heartburn • Stomach Ulcers • Stomach Ache
    Student Health Center NURSE Abdominal and Urinary Problems Upper Abdomen • Heartburn • Stomach ulcers • Stomach ache • Viral stomach illness Lower Abdomen • Appendicitis • Constipation • Menstrual cramps • Urinary tract infection • Viral stomach illness • Sexual transmitted infection (STI) • Vaginal or uterine infections • Ectopic pregnancy • Testicular torsion If your need is urgent, and the Student Health Center is closed, go to the nearest hospital emergency department or call 911 for an ambulance. Seek Immediate Medical Care through Emergency Room If: • The pain becomes worse, sudden, sharp, severe, or changes location • You are pregnant or have a risk of pregnancy • You have an increase in fever or develop shaking chills • You vomit many times or your vomiting persists • You see blood in your urine, vomit or bowel movements • You see coffee grounds-appearing vomit; or maroon or tarry-black bowel movements • You move your bowels many times; or your bowel movements stop (become blocked), or you cannot pass gas, especially if you are also vomiting • Your skin or the whites of your eyes turn yellow • Your abdomen becomes swollen or seems larger • Your abdomen becomes stiff, hard and tender to touch. • The pain does not improve in 1-2 days • You develop any dizziness or bleeding • Have pain in, or between, your shoulder blades with/without nausea • You develop chest, neck or shoulder pain • You have difficulty breathing • Symptoms do not improve in 2 days after starting antibiotic treatment • Fever develops or persists after 2 days of starting antibiotic treatment • You have abdominal pain with vaginal bleeding • You have scrotal pain Self-Care Treatment Heartburn • Avoid ibuprofen, naproxen and aspirin types of pain relievers which can irritate the lining of the stomach.
    [Show full text]
  • DEXCEL HEARTBURN RELIEF 10Mg TABLETS
    PACKAGE LEAFLET: INFORMATION FOR THE USER Acid Reflux 20mg Gastro-Resistant Tablets (Omeprazole) Referred to as Acid Reflux Tablets throughout this leaflet Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. This medicine is available without prescription. However, you still need to take Acid Reflux Tablets carefully to get the best results from them. Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. - Keep this leaflet. You may need to read it again. - Ask your pharmacist or doctor if you need more information or advice. - If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. (See section 4). - You must talk to a doctor if you do not feel better or if you feel worse after 14 days. - If any of the side effects gets serious, or if you notice any side effect not listed in this leaflet, please tell your doctor or pharmacist. What is in this leaflet: 1. What Acid Reflux Tablets are and what they are used for 2. What you need to know before you take Acid Reflux Tablets 3. How to take Acid Reflux Tablets 4. Possible side effects 5. How to store Acid Reflux Tablets 6. Contents of the pack and other information Further helpful information 1. WHAT ACID REFLUX TABLETS ARE AND WHAT THEY ARE USED FOR This medicine contains the active substance omeprazole. It belongs to a group of medicines called ‘proton pump inhibitors’.
    [Show full text]
  • Silent Reflux (Also Called LPR Or EOR)
    Silent reflux (also called LPR or EOR) This leaflet explains what your condition is, why it happens, what the symptoms are and how it can be managed. If there is anything you don’t understand or if you have any further questions please talk to your doctor or nurse. What is silent reflux? Everyone has juices in the stomach which are acidic and digest and break down food. At the top of the stomach there is a muscular valve which closes to prevent food and stomach juices escaping upwards into the gullet. If this muscular valve (oesophageal sphincter) does not work very well, the stomach juices can leak backwards into the gullet, causing reflux or symptoms of indigestion (heartburn). However, in some people, small amounts of stomach juice can spill even further back into the back of your throat, affecting the throat lining and your voice box (larynx) and causing irritation and hoarseness. This is known as laryngo pharyngeal reflux (LPR) or extra oesophageal reflux (EOR). Its common name is 'silent reflux' because many people do not experience any of the classic symptoms of heartburn or indigestion. Silent reflux can occur during the day or night, even if a person hasn't eaten anything. Usually, however, silent reflux occurs at night. What are the symptoms of silent reflux? The most common symptoms are: • A sensation of food sticking or a feeling of a lump in the throat. • A hoarse, tight or 'croaky' voice. • Frequent throat clearing. • Difficulty swallowing (especially tablets or solid foods). • A sore, dry and sensitive throat. • Occasional unpleasant "acid" or "bilious" taste at the back of the mouth.
    [Show full text]
  • An Osteopathic Approach to Reduction of Readmissions for Neonatal Jaundice
    Osteopathic Family Physician (2013) 5, 17–23 REVIEW ARTICLE An osteopathic approach to reduction of readmissions for neonatal jaundice Rachel Click, DO,a Julie Dahl-Smith, DO,a Lindsay Fowler, DO,a Jacqueline DuBose, MD,a Margi Deneau-Saxton, RN, CCCE, CIMI, CLC, CPD,b Jennifer Herbert, MDc From aGeorgia Health Sciences University, Medical College of Georgia, Department of Family Medicine, GA; bGeorgia Health System, OB Labor and Delivery, GA; and cUniversity Primary Care, Evans, GA. KEYWORDS: Jaundice is a potentially life-threatening condition that continues to affect at-risk newborns, accounting Breastfeeding; for continued hospital readmissions. As family physicians, we should be cognizant of neonates who may Jaundice; be at risk for jaundice, including those with pathologic jaundice as well as newborns of breastfeeding Prevention; mothers, and ensure sufficient intervention is taken to help prevent further elevations in bilirubin levels. Hyperbilirubinemia; Interventions are likely to include evaluation for sepsis, education regarding feeding frequencies for both Neonatal massage breast- and bottle-fed neonates, reviewing maternal and hematologic risk factors for neonatal jaundice, and considering inborn errors of metabolism. An additional measure family physicians may consider is that of neonatal massage for those with elevated bilirubin levels. Neonatal massage, though not widely used, has been proven to promote excess bilirubin excretion, thus decreasing length of hospital stay; all the while, providing an intervention that allows parents to take an active role. r 2013 Elsevier Inc. All rights reserved. Introduction morbidity rate with bilirubin 4 20 mg/dL. “It has been estimated that the risk of kernicterus in infants with total Jaundice is a product of excess bilirubin (a product of serum bilirubin (TSB) greater than 30 mg/dL is about 1 in broken down red blood cells), which manifests as a 7 infants”.1 Less serious complications of hyperbilirubine- yellowing of the skin and eyes.
    [Show full text]
  • Travelers' Diarrhea
    Travelers’ Diarrhea What is it and who gets it? Travelers’ diarrhea (TD) is the most common illness affecting travelers. Each year between 20%-50% of international travelers, an estimated 10 million persons, develop diarrhea. The onset of TD usually occurs within the first week of travel but may occur at any time while traveling and even after returning home. The primary source of infection is ingestion of fecally contaminated food or water. You can get TD whenever you travel from countries with a high level of hygiene to countries that have a low level of hygiene. Poor sanitation, the presence of stool in the environment, and the absence of safe restaurant practices lead to widespread risk of diarrhea from eating a wide variety of foods in restaurants, and elsewhere. Your destination is the most important determinant of risk. Developing countries in Latin America, Africa, the Middle East, and Asia are considered high risk. Most countries in Southern Europe and a few Caribbean islands are deemed intermediate risk. Low risk areas include the United States, Canada, Northern Europe, Australia, New Zealand, and several of the Caribbean islands. Anyone can get TD, but persons at particular high-risk include young adults , immunosuppressed persons, persons with inflammatory-bowel disease or diabetes, and persons taking H-2 blockers or antacids. Attack rates are similar for men and women. TD is caused by bacteria, protozoa or viruses that are ingested by eating contaminated food or beverages. For short-term travelers in most areas, bacteria are the cause of the majority of diarrhea episodes. What are common symptoms of travelers’ diarrhea? Most TD cases begin abruptly.
    [Show full text]
  • Managing Acid Reflux
    Managing Acid Reflux What is acid reflux • Cut back or cut out caffeine if it bothers you. Caffeine relaxes the muscle at the opening of the (gastroesophageal reflux)? stomach, which allows stomach acid to back up into your throat. Caffeine is found in coffee, tea, Acid reflux (gastroesophageal reflux disease or energy drinks, pop, chocolate, and some GERD) is when acid from the stomach backs up medicines. into the esophagus. It can happen when the opening from the stomach to the throat is weak, or when • Alcohol and peppermint may relax the muscle at food takes longer to leave the stomach. Heartburn is the opening of the stomach. Don’t use them if the most common symptom of GERD. they make your symptoms worse. Heartburn is the burning feeling in your chest and • Citrus fruits and juices, tomatoes, chocolate, throat caused when stomach acid backs up into your onions, garlic, and strong spices may cause throat. Some foods and habits can make heartburn heartburn for some people. The foods that bother and GERD worse. you at one time may not bother you forever. Try adding these foods back into your diet once in a while. What can I do to make my • Don’t eat the foods that bother you. If you GERD better? choose to eat foods that might cause heartburn, eat them at the end of a meal. For example, eat Changing what and how you eat can sometimes an orange at the end of a meal instead of on an help the symptoms of GERD. Lifestyle changes can empty stomach.
    [Show full text]
  • INFORMED CARING JAUNDICE Neonatal Jaundice BILIARY
    1 INFORMED CARING Situations with Adults and Children with Gallbladder, Liver and Pancreatic Disorders 2 JAUNDICE ä Does NOT mean hepatitis ä Increased breakdown of RBCs ä Altered bilirubin breakdown ä Impeded flow through liver or bile duct ä First seen in sclera, then skin 3 Neonatal Jaundice ä Not liver failure ä RBC breakdown ä Phototherapy 4 BILIARY ATRESIA ä Jaundice 2-3 weeks after birth ä Easy bruising ä Stools putty like ä Tea colored urine ä Abdominal/organ distension 5 4 F’s of Gallbladder ä Fair ä Fat X size of person X amount in diet ä Fertile X BCP X Multiparity ä Forty 6 Cholelithiasis ä Calculi within the duct or gallbladder ä Severe colicky, cramp-like pain X radiates to shoulder blade X Murphy's sign ä Cholecystitis: inflammation X Can be caused by trauma, fasting, TPN or abdominal surgery 7 Diagnostic Studies ä Ultrasound of abdomen 1 X not for the obese ä HIDA scan X nuclear medicine ä Cholangiograms X endoscopic X transvenous X intraoperative 8 Post-op Care ä High abdominal incision X respiratory compromise ä T-tube X patients need to know how to empty it X may clamp it prior to removal X caution not dislodged with movements ä NO Morphine X spasms of sphincter of Oddi 9 Post-op Nutrition ä Limited fat in diet X can have rapid transit times ä Potential fat soluble vitamin deficit X A, D, E and K ä Weight loss diet 10 LIVER FAILURE ä Cirrhosis ä Drug toxicity X acetaminophen, anesthetics, HCTZ, chemotherapy ä Infection ä Cancer ä ETOH is single most linked cause 11 LIVER FAILURE S/S ä Don’t show up until 80-90% failed
    [Show full text]