Term
| Neonate Medication: Topical Bacitracin |
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Definition
Name: Bacitracin/Baci-IM
Dosage: Cream provided
Route: Topical
Classification: Antibiotic
ActionInterferes with bacterial cell wall synthesis, weakens the cells and causes death. Bacteriostatic and bactericidal.. Used for cuts or scrapes on newborns.
Common side effects: Rash
Nursing considerations: Sensitivity or rashes. |
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Term
| Neonate Medication: EMLA cream |
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Definition
Name: EMLA cream/Lidocaine/Prilocaine
Usual dosage: 2.5% Lidocaine, 2.5% prilocaine
Route: Topical
Classification: Local anesthetic
Action: Both inhibit nerve impulses in the area they cover and this stops the pain signal from sending. Used for circumcisions.
Common side effects: Systemic absorption, blanching, local erythemia.
Nursing considerations: Can cause bradycardia and cardiac collapse, don't apply over broken skin. |
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Term
| Neonate Medication: Erythromycin Ointment |
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Definition
Name: Erythromycin Opthalmic Ointment
Usual dosage: 5mg
Routes of administration: Topical
Classification: Antibiotic
Action: Inhibits protein synthesis for bacteria. Used to prevent eye infection in babies after delivery.
Common side effects: Eye irritation
Nursing considerations: Watch for local irritation. |
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Term
| Neonate Medication: Hepatitis B Vaccine |
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Definition
Name: Hepatitis B Vaccine/ Engerix-B, Recombivax HB
Usual dosage: 5mg/.5ml
Routes: IM
Classification: Vaccine
Action: Triggers the bodies immune response to the Hepatitis B antigen, beginning the process of immunity.
Common side effects: Pain at injection site, possible allergic reaction.
Nursing considerations: Notify the need for the vaccine. Be aware of maternal status of Hepatitis B. Do not aspirate vaccines. |
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Term
| Neonate Medication: Vitamin K |
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Definition
Name: Vitamin K/ Aquamephyton
Usual dosage: 0.5-1mg
Routes: IM
Classification: Vitamin
Action:Treats vitamin k deficiency bleeding in the newborn. Promotes clotting factors in the liver.
Common side effects: Pain and edema. Allergic reactions (rash, uticaria or skin welts.)
Nursing considerations: Prtoect from light, give before circumcision, observe for local inflammation, observe for bleeding. |
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Term
| Neonate Medication: Narcan |
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Definition
Name: Naloxone Hydrochloride/Narcan
Usual dosage: .1mg/kg of 1mg/ml solution, or 0.25 ml/kg of 0.4 mg/ml.
Routes of administration: Umbilical cord, IM, IV push over 1 minute.
Classification: Opioid antagonist.
Action:Reverses respiratory depression caused by acute narcotic toxicity if the mother had a narcotic within 4 hours of birth.Reversal is within 1-2 minutes (15 for IM)Repeat in 3-5 minutes if depression hasn't occurred, 2-3 more times.
Common side effects: Irritability, increased crying, PTT prolonged, tachy possible.
Nursing considerations : Monitor respiration rate and depth. Assess when naloxone effects wear off. Incompatible with alkaline. solutions. |
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Term
| Neonate Medication: Lidocaine |
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Definition
Name: Lidocaine Hydrochloride/ Xylocaine, Anestacon.
Usual dosage: 1% lidocaine
Routes: Topical
Classification: Local Anesthetic
Action: Blocks nerve impulses creating local anesthesia.
Common side effects: Bradycardia, respiratory arrest, redness or irritation
Nursing considerations: Observe for respiratory depression, bradycardia, apply ointment t gauze or bandage before applying to skin. |
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Term
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Definition
Name: Benadryl/Diphenhydramine
Dosage: Tablets/capsules: 25-50mg every 4-6 hours. IV/IM: 10-50mg every 4-6 hours.
Routes: PO, IV, IM
Class: Sedative, Antiemetic, antianxiety
Action: Promotes sleep and decreases anxiety, used if there is itching with fentanyl
Side effects: Confusion, drowsiness, arrhythmias, palpitations
Nursing considerations : Take 30 minutes before expected exposure. Protect from light. Take with food to reduce GI upset. |
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Term
| Labor Patient: Betamethasone |
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Definition
Name: Betamethasone/Celestone
Dosage: 12mg, 12 or 24 hours apart
Routes: IM, IV, cream
Class: Corticosteroid
Action: Used to mature fetal lungs in pre-term birth. Reduces the chance of lung disease.
Side effects: Lower birth weight, smaller heads if given too early.
Nursing considerations : Steroids linked to higher blood sugars and ulcers, check blood sugar and possibly give antacid. Rotate IM injection sites. |
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Term
| Labor Patient: Cytotec/Misoprostol |
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Definition
Name: Misoprostol/Cytotec
Dosage: 25mcg initial dose for ripening, 800mcg sublingual for hemorrhage
Routes: Oral, vaginal, rectal, sublingual, buccal.
Class: Prostaglandin E1 analogue
Action: Ripens the cervix to induce labor. If uterine contractions are not occurring regularly, the ripening agent is administered. Every 3-6 hours until adequate cervical change occurs.
Side effects: Uterine hyperstimulation, shivering, fetal heart rate abnormalities. A beta-adrenergic agent used if hyperstimulation occurs.
Nursing considerations : Pitocin should not be administered less than 4 hours after the last dose. Do not give if presence of uterine contractions 3 times in 10 minutes, c-section/uterine scar, placenta previa, or fetal tachy |
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Term
| Labor Patient: Clindamycin |
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Definition
Name: Cleocin/Clindamycin
Dosage: Adult:150-300mg po Q6h. 600-1200 IV/IM. Neonates: 15-20mg/kg/day. Vaginal use: 100mg at bedtime for 7 days.
Routes: Oral, IV, IM, Topical cream
Class: Antibiotic
Action: Inhibits bacteria protein synthesis, causing bacterial death.
Side effects: Nausea, diarrhea, rash
Nursing considerations : Take care w/ patients w/ allergies, GI disease or renal/hepatic dysfunction. IV by infusion only. Check IV for phlebitis. |
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Term
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Definition
Name: Fentanyl/Sublimaze
Dosage: 50-100mcg every 2 hours
Routes: IM, IV
Class: Analgesic
Action: Binds to opioid receptor sites, altering perception of pain. Alters neurotransmitter response to pain
Side effects: Constipation, dizziness, drowsiness, nausea, confusion
Nursing considerations :Infant may experience neonatal opioid withdrawl (poor feeding, rapid breathing, trembling). Give lowest possible dose along with a nonopioid as prescribed. Monitor respirations and heart rate. |
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Term
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Definition
Name: Cephalexin Monohydrate/Keflex
Dosage: Max 4g daily
Routes: PO
Class: Antibiotic
Action: Interferes with bacterial cell wall synthesis, used for Strep or suspected strep.
Side effects: Cramps, diarrhea, edema, renal failure/nephrotoxicity, rash.
Nursing considerations : Patients with penicillin allergy may be sensitive. Monitor for allergic reactions, assess bowel patterns. |
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Term
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Definition
Name: Lidocaine/Xylocaine
Dosage: No more than 75g
Routes: IV
Class: Local Anesthetic
Action: Regional blocks of nerve impulses to the central nervous system, preventing pain signals.
Side effects: Redness, swelling, skin irritation
Nursing considerations : May have palpitations, tinnitus, confusion, cardiovascular collapse, vomintin, hypotension, bradycardia. Short acting barbituarate may reduce anxiety. |
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Term
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Definition
Name: Trandate/Labetalol
Dosage: 100mg start possible, 200mg diluted in 160ml of D5W (infusion), 20mg over 2 minutes IV injection. Max 300mg.
Routes: PO, IV
Class: Beta Blocker/Antihypertensive
Action: For high blood pressure (add action)
Side effects: Slow heart rate, dizziness, light headedness with standing
Nursing considerations : Monitor blood pressure, keep patient supine, measure blood sugar levels, it may mask signs of hypoglycemia. |
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Term
| Labor Patient: Magnesium Sulfate |
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Definition
Name: Magnesium Sulfate
Dosage: 4g diluted in 250ml compatible solution, infused over 30min. Maintenance: 1-2g/hour (Preclampsia). 4-6g over 15-30 minutes, maint 2-3g/hour (preterm labor)
Routes: IV
Class: Anticonvulsant
Action: Prevents or controls seizures in preeclampsia or eclampsia. Depresses the CNS and blocks peripheral neuromuscular impulse transmission by reducing available acetylcholine. Preterm labor:Lowers the available calcium in muscle cells, inhibiting contractions.
Side effects: Flushing, muscle weakness, blurry vision, dizziness.
Nursing considerations : Assess cardiac status especially if taking beta blockers. |
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Term
| Labor Patient: Nifedipine |
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Definition
Name: Procardia/Nifedipine
Dosage: 30mg loading dose, 20mgevery 4-8 hours for 24 hours, then 10mg every 8 hours.
Routes: PO
Class: Calcium Channel Blocker
Action: Tocolytic effect, inhibits the contraction of smooth muscle.
Side effects: Dizziness, headache, peripheral swelling, flushing, constipation
Nursing considerations : Monitor for adverse effects, don't use with mag sulfate, be aware of hypotension and teach patient how to get up safely if experiencing hypotension. |
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Term
|
Definition
Name Pitocin/Oxytocin
Dosage: 10ml/hr, 10 milliunits/ml. IV starts at 0.5-1 millunit/minute, increase by 1-2 milliunits every 40-60 minutes. After expulsion of placenta: 1ml (10 units) given IM or IV for continuous infusion.
Routes: IV
Class: Uterine Stimulant
Action: Promotes contractility of the uterine, used for both post hemorrhagic bleeding and for increasing contractions for birth.
Side effects: Abnormal heartbeat, contractions in uterus, tightness in chest.
Nursing considerations: Explain induction to the mom, apply fetal monitor and obtain a 15-20 minute tracing and nonstress test to assess fetal heart rate before beginning. Pitocin must be run using a secondary line. Max is 40 milliunits/min. |
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Term
| Labor Patient: Penicillin |
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Definition
Name: Penicillin
Dosage: 1-5 million units, every 4-6 hours
Routes: IV
Class: Antibiotic
Action: Kills the Group B strep bacteria in the vagina and anus during the labor period if the mother is Strep B positive.
Side effects: Confusion, dizziness, palpitations, diarrhea, abdominal pain, muscle twitching
Nursing considerations : Watch for allergic reactions, don't give if allergic. REconstitute with D5W, Sterile water or sodium chloride. Administer at least 1 hour before other antibiotics. Absorbed slowly. |
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Term
| Labor Patient: Prostaglandin gel (PG gel) /Cervadil |
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Definition
Name: Dinoprostone/Cervidil
Dosage: 0.3mg/hour
Routes: Vaginal insert (Posterior fornix)
Class: Prostaglandin
Action: Ripens the cervix and stimulates the smooth muscle of the uterus to enhance contractions.
Side effects: Uterine hyperstimulation, nonreassuring heart patterns.
Nursing considerations: Patient should be on bedrest while on this. Assess for contraindications (should not be on Pitocin, have any previous scars or ruptures) Give terbutaline if any adverse reactions occur. |
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Term
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Definition
Name: Metoclopramide/Reglan
Dosage: 10-40mg/day (PO), 10-20mg (IM)
Routes: PO
Class: Antiemetic, upper GI stimulant
Action: Decreases gastric emptying time in the prevention of Mendelson's Syndrome during labor and delivery. (chemical pneumonitis caused by aspiration during anaesthesia)
Side effects: Agitation, restlessness, hypotension, av block, sv tach
Nursing considerations: Use care if patient is hypertensive. Avoid rapid delivery, 10mg or less, 1-2 minutes, larger than 10mg dilute in 50ml (NS/0.45 NS, D5W, LR) and infuse over 15 minutes. |
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Term
| Labor Patient: Sodium Citrate |
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Definition
Name: Sodium Citrate/Bicitra
Dosage: 15ml
Routes: PO
Class: Antacid
Action: Neutralizes stomach acid
Side effects: Diarrhea, nausea, vomiting
Nursing considerations : Monitor serum electrolytes in patients with renal conditions. Monitor for side effects. |
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Term
| Labor Patient: Terbutaline |
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Definition
Name: Terbutaline
Dosage: Injection: 1mg/ml, PO 2.5-5mg
Routes: SQ, PO
Class: Bronchodilator/Tocolytic Agent
Action: Inhibits maternal contractions.
Side effects: Arrhythmia, hyperglycemia, edema, hypotension, fetal: tachy and hyperinsulemia
Nursing considerations : Report tremors, monitor blood sugar and heart rate, let the doctor know if contractions begin again. |
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Term
| Labor Patient: Vancomycin |
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Definition
Name: Vancomycin Hydrochloride/Vancocin
Dosage: 1gram/12 hours
Routes: IV
Class: Antibiotic
Action: Kills bacteria. Given to mothers who have infections or c-section who have beta-lactam antibiotic allergies
Side effects: Chills, ototoxicity, abdominal pain, flatulence, hypotension
Nursing considerations: Infuse over at least 1 hour per gram of vanco, rapid delivery may cause hypotension. Observe for extravasation, assess hearing. |
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Term
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Definition
Name: Zofran/Ondansetron hydrochloride.
Dosage: 4g single dose
Routes: IM, IV
Class: Antiemetic
Action: Prevents and treats postop nausea and vomiting
Side effects: Dizzyness, diarrhea, constipation, rash, transient blindness (severe), hypotension (severe)
Nursing considerations: May cause dizzyness or drowsiness, headache that may need treatment. Monitor heart rate, QT interval may be prolonged leading to arrhythmias. |
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Term
| Postpartum Patient: Ampicillin |
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Definition
Name: Ampicillin
Dosage: 250-500mg every 6 hours (oral). IM/IV: 12g/day max daily dose.
Routes: IM, IV, PO
Classification: Antibiotic
Action: Kills bacteria from C-Section, or from the endometrium of the mother or an infected placenta.
Common Side Effects: Nausea, rash, diarrhea
Nursing Considerations: Avoid giving amp to patients with mono, increased risk of rash. Do not infuse too rapidly or seizures may occur (3-5 minutes per 125-500mg.) Monitor for anaphylactic reactions. |
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Term
| Postpartum Patient: Benadryl |
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Definition
Name: Diphenhydramine/Benadryl
Dosage: Oral: 25-50mg. IM/IV: 10-50mg, no more than 400mg/day
Routes: Oral, IV, IM
Classification: Antihistamine
Action: Binds to histamine receptors, providing allergy relief or itching relief.
Common Side Effects: Sleepiness, constipation, Dizzyness, tremor, nausea.
Nursing Considerations: Parenteral only if oral ingestion isn't possible. Take with food to minimize GI distress |
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Term
| Postpartum Patient: Colace |
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Definition
Name: Docusate Sodium/Colace
Dosage: (Oral) 50-400mg/day in 1-4 divided doses. (Rectal) 50-100mg in enema fluid
Routes: Oral, Rectal
Classification: Laxative
Action: Enhances incorporation of water and fat into stool, allowing for a softer stool.
Common Side Effects: Diarrhea, abdominal cramps and distention.
Nursing Considerations: Assess for laxative abuse. Take with water or milk. |
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Term
| Postpartum Patient: Cefotetan |
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Definition
Name: Cefotetan
Dosage: 1000-2000 mg as soon as umbilical cord is clamped.
Routes: IV
Classification: Antibiotic/Cephalosporin
Action: Kills bacteria, typically used prophylactically prior to c-section. Inhibits cell wall synthesis.
Common Side Effects: Diarrhea, hypersensitivity
Nursing Considerations: Monitor for phlebitis and extravasation. Monitor for hemolytic anemia, assess for severe diarrhea (possible pseudomembranous colitis) Be prepared to give vitamin K if ordered. |
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Term
| Postpartum Patient: Demerol |
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Definition
Name:Meperidine/Demerol
Dosage: 50-100mg, may repeat every 1-3 hours
Routes: IM, Sub-Q
Classification: Analgesic/Narcotic
Action: Binds to opioid receptors, changes perception of pain, inhibits pain pathways.
Common Side Effects: Bradycardia, hypotension, confusion, hallucinations, headache, lightheadedness, respiratory depression.
Nursing Considerations: Keep naloxone on hand, monitor respiratory and cardiovascular status. Assess need for stool softeners. |
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Term
| Postpartum Patient: Dulcolax |
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Definition
Name: Dulcolax/Bisacodyl
Dosage: (Oral) 5-15mg/day, max 30mg. , (Rectal) 10mg/day as a single dose
Routes: Oral, Rectal
Classification: Laxative
Action: Stimulates peristalsis by irritating smooth muscle of the intestine, increasing intestinal fluid accumulation.
Common Side Effects: Cramps, upset stomach, diarrhea
Nursing Considerations: Evaluate for continued need for laxative. IF receiving anticoagulants, vitamin K absorption may be decreased. |
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Term
| Postpartum Patient: Ferrous sulfate |
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Definition
Name: Iron/Ferrous Sulfate
Dosage: Lactation: 9-10mg/day. Treatment of iron deficiency anemia: 300mg twice daily, up to 300mg 4 times a day.
Routes: Oral
Classification: Mineral
Action: Replaces iron and allows transportation of oxygen via hemoglobin.
Common Side Effects: Constipation, dark stools, upset stomach, cramps
Nursing Considerations: Monitor serum iron, iron binding capacity, reticulocyte count, hemoglobin and ferritin. Expect adjusted iron dosage from values. |
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Term
| Postpartum Patient: Gentamycin |
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Definition
Name: Gentamacin/Garamycin
Dosage: 4-7mg/kg once daily
Routes: IV
Classification: Antibiotic
Action: Binds to cell membrane, inhibits bacterial ribosomes and inhibits protein synthesis. Used when prolonged labor, c-section, ruptured membranes may exist.
Common Side Effects: Nausea, diarrhea, rash
Nursing Considerations: Expect IV route, check IV interactions before using in a line with other drugs. |
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Term
| Postpartum Patient: Hemabate |
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Definition
Name: Carboprost/Hemabate
Dosage: 250mg. 2mg max per day (8 doses, 90 minutes apart)
Routes: IM
Classification: Oxytocic
Action: Causes the uterus to contract as it would while in labor. Used to stop hemorrhaging.
Common Side Effects: Vomiting, Diarrhea, Nausea, flushing.
Nursing Considerations: Monitor for excessive bleeding, save clots for diagnosis, check vitals for possible febrile reaction. Aspirate injection to ensure proper placement. |
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Term
| Postpartum Patient: Lortab (Dual Medication) |
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Definition
Name: Lortab/Hydrocodone and Acetaminophen
Dosage: 5-10mg hydrocodone 4 times daily. Acetaminophen, less than or equal to 4000mg/day.
Routes: Oral
Classification: Analgesic/Narcotic
Action: Hydrocodone: Blocks pain perception in the cerebral cortex and binds with opiate receptors inhibiting pain sensation. Acetaminophen blocks pain impulse generation and produces antipyresis by inhibiting hypothalamic heat-regulation.
Common Side Effects: Bradycardia, dizziness, drowsiness, lethargy, lightheadedness
Nursing Considerations: Ensure to keep under 4g acetaminophen combined per day. Check for CNS depression and respiratory depression. |
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Term
| Postpartum Patient: Lovenox |
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Definition
Name: Lovenox/Enoxaparin
Dosage:
Routes: SubQ. 40mg once daily, 2 hours prior to surgery
Classification: Anticoagulant
Action:
Common Side Effects: Bleeding/Bruising
Nursing Considerations: Monitor platelet counts, monitor bleeding. Estrogen therapies may decrease effectiveness. |
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Term
| Postpartum Patient: Magnesium Sulfate |
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Definition
Name: Magnesium Sulfate
Dosage: 4g loading dose, then 1g/hour
Routes: IV
Classification: Anticonvulsant
Action: Prevents and controls eclamptyic seizures.
Common Side Effects: Flushing, warmth, muscle weakness, blurry vision, dizziness.
Nursing Considerations: Check pulse while giving med. Monitor respiratory rate and tendon reflexes. (Patellar) Observe newborns for magnesium toxicity. Have calcium gluconate ready. |
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Term
| Postpartum Patient: Methergine |
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Definition
Name: Methylergonovine/Methergine
Dosage: 0.2mg every 6-12 hours until atony danger is passed. (PO) 0.2mg every 2-4 hours, max 5/day (IM/IV)
Routes: PO, IM, IV
Classification: Ergot derivative
Action: Prevents hemorrhage or bleeding. Administered after the placenta is delivered, reduces postpartum hemorrhage.
Common Side Effects: Headache, belly pain, dizziness, diarrhea.
Nursing Considerations: BP elevation potential, don’t give w/ elevated BP. IV is only in an emergency. Notify physician if BP elevates, or if uterus relaxes too much. |
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Term
| Postpartum Patient: Morphine sulfate |
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Definition
Name: Morphine Sulfate/Morphine
Dosage: Oral: 10-30mg every 4 hours. IV: 2.5-5mg/dose every 3-4 hours.
Routes: Oral, IV
Classification: Narcotic
Action: Binds to opioid receptors, changes perception of pain and blocks pain receptors. Treats pain following delivery
Common Side Effects: Constipation, dizziness, drowsiness, nausea, confusion.
Nursing Considerations: Keep Naloxone on hand, monitor respirations. Ensure pain is managed. Monitor neonate for exposure. |
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Term
| Postpartum Patient: Motrin |
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Definition
Name: Motrin/Ibuprofen
Dosage: 200-400mg every 4-6 hours, max 1200mg/day. 2400 to 3200 can be used with physician direction. 400-800mg IV.
Routes: PO, IV
Classification: Analgesic, NSAID.
Action: Decreases formation of prostaglandin precursors, decreasing pain signaling and fever. Antipyretic, analgesic, anti-inflammatory.
Common Side Effects:
Nursing Considerations: Avoid use with anti-platelets. Use with caution if patient has history of ulcers or GI bleeds. MI/Stroke risk increased. Give with food. |
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Term
| Postpartum Patient: Norco (Dual Medication) |
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Definition
Name: Hydrocodone/Acetaminophen/Norco.
Dosage: Hydrocodone 5-10mg, 4 times a day. Acetaminophen less than 4000mg/day through combined sources.
Routes: Oral
Classification: Narcotic Pain Medication
Action: Hydrocodone: Blocks pain perception by binding to opiate receptors, blocking pain sensations. Acetaminophen inhibits prostaglandins and blocks pain impulse generation.
Common Side Effects: Constipation, dizziness, drowsiness, nausea.
Nursing Considerations: Give with food to minimize GI issues. Monitor respiratory status. Keep Naloxone on hand. |
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Term
| Postpartum Patient: Nubain |
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Definition
Name: Nalbuphine/Nubain
Dosage: Based on 70kg patient: 10mg every 3-6 hours. Increase/decrease based on weight.
Routes: IV, IM, SQ
Classification: Narcotic
Action: Binds with opiate receptors, altering perception of pain.
Common Side Effects: Constipation, dizziness, drowsiness, nausea.
Nursing Considerations: Monitor respirations, keep naloxone available, ensure IV injection fluids are compatible, no more than 10mg over 3-5 minutes. |
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Term
| Postpartum Patient: Pepcid |
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Definition
Name: Famotidine/Pepcid
Dosage: 10mg at onset of symptoms, 20mg every 24 hours.
Routes: Oral
Classification: Antiulcer, gastric acid secretion inhibitor.
Action: Reduces HCl formation, prevents ulcers and helps heal existing ones
Common Side Effects: Dry mouth, abdominal pain, constipation, anxiety
Nursing Considerations: Shake oral suspension vigorously before administering. Pepcid AC has aspartame, some patients may be allergic. Chewables must be chewed thoroughly before swallowing. Do not use with other acid reducing medications |
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Term
| Postpartum Patient: Percodan (Dual Medication) |
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Definition
Name: Oxycodone and Aspirin/Percodan
Dosage: Oxycodone 0.1-0.2 mg/kg/dose. Max aspirin through combined sources no greater than 4g/day.
Routes: Oral
Classification: Narcotic/Analgesic.
Action: Oxycodone blocks pain perception, inhibiting pain sensations. Aspirin inhibits prostaglandin synthesis, preventing formation of platelet-aggregating substances as well.
Common Side Effects: Circulatory depression, hypotension, drowsiness, respiratory depression.
Nursing Considerations: Assess BP, pulse and respirations. Keep naloxone on hand. Verify pain is managed. |
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Term
| Postpartum Patient: Phenergan |
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Definition
Name: Promethazine/Phenergan
Dosage: 25mg, then 10-25mg every 4-6 hours. 150mg daily max. (PO). 12.5-25mg every 4 hours (IV/IM) 25mg, then 12.5-25mg every 4-6 hours as needed (Suppository)
Routes: PO, IV, IM, Rectal.
Classification: Antiemetic
Action: Treats nausea and vomiting
Common Side Effects: Dizziness, drowsiness, light headedness with standing, dry mouth.
Nursing Considerations: IM inject deep into large muscle, aspirate to avoid injection into artery. Monitor respiratory function. Offer patient options for relieving dry mouth. |
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Term
| Postpartum Patient: Reglan |
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Definition
Name: Metoclopramide/Reglan
Dosage: 10-40mg/day (PO), 10-20mg (IM)
Routes: PO
Class: Antiemetic, upper GI stimulant
Action: Decreases gastric emptying time in the prevention of Mendelson's Syndrome during labor and delivery. (chemical pneumonitis caused by aspiration during anaesthesia)
Side effects: Agitation, restlessness, hypotension, av block, sv tach
Nursing considerations: Use care if patient is hypertensive. Avoid rapid delivery, 10mg or less, 1-2 minutes, larger than 10mg dilute in 50ml (NS/0.45 NS, D5W, LR) and infuse over 15 minutes. |
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Term
| Postpartum Patient: Rhogam |
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Definition
Name: Rhogam/Rho(D) Immune Globulin
Dosage: 300mcg
Routes: IM, IV
Classification: Immune Globulin
Action: Suppresses Rh isoimmunization when negative individual is exposed to positive blood. Suppresses immune response and antibody formation.
Common Side Effects: Pain at injection site, discomfort, redness, swelling.
Nursing Considerations: Anaphylactic reaction may occur. Administer as soon as possible, within 72 hours post delivery. Can be given up to 28 days post delivery. |
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Term
| Postpartum Patient: Rubella Vaccine |
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Definition
Name: MMR
Dosage: 0.5ml/dose
Routes: SubQ
Classification: Vaccine
Action: MMR offers activity immunity to MMR viruses. Given for women prior to discharge if no documentation of immunity exists.
Common Side Effects: Tenderness, wheal, burning on site of injection, syncope possible
Nursing Considerations: Vaccination may not result in immunity. Keep an epi pen on hand. |
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Term
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Definition
Name: TDAP/DTAP/Diptheria, tetanus toxoids and acellular pertussis vaccine
Dosage: 0.5ml
Routes: IM
Classification: Vaccine
Action: Promotes active immunity by inducing production of antibodies.
Common Side Effects: Pain at injection site, allergic reaction
Nursing Considerations: If patient has seizure disorders, defer until condition is stabilized. Contains some items with allergic reactions, keep epi pen on hand |
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Term
| Postpartum Patient: Toradol |
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Definition
Name: Ketorolac/Toradol
Dosage: (IM) 60mg max 120mg/day, (IV) 30mg max 120mg/day, (Oral) 20mg, then 10mg every 4-6 hours, max 40m/day.
Routes: IM, IV, Oral
Classification: NSAID, Anti-inflammatory
Action: Reduces prostaglandin precursors, which have an antipyretic, analgesic and anti-inflammatory property.
Common Side Effects: Heartburn, nausea, headache, dizziness.
Nursing Considerations: |
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Term
| Postpartum Patient: Tylenol with codeine (Dual Medication) |
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Definition
Name: Tylenol with codeine/Acetaminophen and Codeine.
Dosage: Codeine: 30-60mg/dose, every 4-6 hours. Acetaminophen: Max total 4000mg/24 hours.
Routes: Oral (Solutions or tablets)
Classification: Analgesic/Narcotic
Action: (Acetaminophen) Inhibits synthesis of prostaglandins in CNS, peripherally blocks pain impulses. (Codeine) Binds to opiate receptors in CNS, inhibiting ascending pain pathways and altering perception of pain.
Common Side Effects:Sleepiness, confusion, shallow breathing, dizzyness, light headedness.
Nursing Considerations: Evaluate for pain relief, depressed breathing |
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Term
| Postpartum Patient: Vistaril |
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Definition
Name: Hydroxyzine Pamoate/Vistaril
Dosage: Antiemetic: 25-100mg IM. Anxiety: 50-100mg QID (Oral), 50-100mg Q4-6H IIM. Pruritus: Oral 25mg, 3-4 times daily.
Routes: IM, Oral
Classification:Antianxiety, Antiemetic, Antihistamine, Sedative.
Action:Competes with Histamine for sites. Relaxes muscles, is an antiistamine, an antiemetic and for treatment to reduce opioid dosage and treat pruritus with rash.
Common Side Effects: Allergic reaction, dizzy, drowsiness, fatigue, tremor
Nursing Considerations: IV and Sub-Q is completely contraindicated, do not use. Observe for oversedation if patient takes another CNS depressant. |
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