Term
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Definition
| Administered IM deep into gluteal muscle – 2 doses 24 hrs apart. May be increased incidence of infection in some women with premature ROM. May cause maternal hyperglycemia. May be implicated with increased risk of pulmonary edema when administered with tocolytic agents. Glucocorticoid that is capable of inducing pulmonary maturation and decreasing the incidence of respiratory distress syndrome in preterm infants. |
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Definition
| Observe for sensitivity reaction including edema and inflammation which usually disappears in 24-48 hrs. May wipe away excess after 1 min. Instill in lower lid inner to outer canthus. Antibiotic ointment for prophylactic treatment of opthalmia neonatorum caused by neisseria gonorrhoeae and Chlamydia. |
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Definition
| May be given IMIV. Side effects include respiratory depression, circulatory failure, tachycardia. IM duration 12 hrs. (Nausea/Vomiting) |
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Definition
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Administer AM or evening with a full glass of water. More rapid results occur when given on an empty stomach. May turn urine and feces yellow-brown or red. Side effects are N/V, anorexia, and cramps. Laxative stimulant that stimulates peristalsis and softens feces by increasing water and electrolytes in large intestine.
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Term
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Definition
| Assess pain given orally. Monitor for dizziness, drowsiness, hallucinations, and respiratory dysfunction. Allergic reactions include rash, hives, urethral spasms, urinary retention, circulatory depression and suppresses cough reflex. Synthetic opiate analgesic combined with acetaminophen for mild to moderate pain. Used in postpartum period in pts that are allergic to codeine. |
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Definition
| Monitor VS after IV administration. Observe for respiratory muscle rigidity (give slowly to prevent). Severe side effects include: laryngospasm, resp. depression or arrest. Must have resuscitative equipment available, post-op patients need turning, coughing and deep breathing. Synthetic opioid analgesic used as an adjunct to regional anesthesia (epidural/spinal). |
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Definition
| Administered IM. Pain and edema may occur at injection site. Bleeding from umbilical cord, circumsicion site, nose, GI tract, or generalized ecchymosis, usually occurs on second or third day. IM injection used in prophylaxis and tx of hemorrhagic disease of the newborn by promoting liver formation of clotting factors II, VII, IX, X (2, 7, 9, 10). |
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Definition
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Oral opiate analgesic with a higher risk of adverse reactions including seizures, circulatory collapse, resp. depression, or paralysis. Anaphylaxis. Narcotic analgesic combined with acetaminophen to control mild to moderate pain
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Term
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Definition
| May cause swelling or edema to site. Topical anesthetic applied to penis 30 – 60 minutes prior to circumcision. |
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Definition
| Determine if patient has sensitivity to neomycin. Not to be given within 3 months of having received a blood transfusion. May have burning/stinging at injection site. May have rash, malaise, sore throat, or headache 2-4 wks after administration. Live vaccine given SubQ to stimulate active immunity against rubella virus and rubella non-immune patients. |
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Definition
| Given post-op, after meals, and at bedtime. Make cause belching or flatus. Chewable anti-flatulant medication that disperses/prevents gas pockets in GI system but does not decrease gas production. |
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Definition
| Administered IM in opposite thigh were Vit K was given. Second dose is given at 1 month of age with final dose given at 6 months of age. Common side effects include: soreness at injection site, occasional erythema, swelling, warmth, and induration at injection site. May also have irritability or low grade fever. Inactivated vaccine that provides passive immunity for newborns of HBsAG-negative/positive mothers. Should be given w/in 12 hrs of birth. |
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Term
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Definition
| Stinging when injected but not as bad as pain with circumcision. Medication administered by MD SubQ around the penis to minimize pain. |
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Term
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Definition
| Assess for sensitivity to penicillin and other cephalosporins. High risk for nephrotoxicity, anaphylaxis, and overgrowth of infection. Irritation/ extravasation may occur at IV site. Monitor site closely during administration. Cephalosporin antiinfective given to c-section pt’s when the umbilical cord is cut as prophylaxis for the mother. |
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Term
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Definition
| Oral opiate analgesic. Assess pain. Monitor resp. rate, if < 10 per min; withhold medication and notify MD. Synthetic opiate analgesic combined with acetaminophen for mild to mod pain used in the post partum period in pt’s that are allergic to codeine. |
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Term
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Definition
| Administered as IV drip at 1 – 4g/hr. Requires close observation of BP and resp. rate (<12/min may indicate toxicity). Assess for presence of DTR’s (loss) and urine output of <30 ml/hr may indicate toxicity. Causes flushing and headache. CNS depressant used to reduce possibility of convulsion in pt’s with preeclampsia. Secondarily relaxes smooth muscle, so may decrease BP and the frequency and intensity of uterine contractions. |
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Term
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Definition
| Monitor IV site closely while administering. If extravasation occurs necrosis with result. May have pain/burning at IV site. Dysrhythmias/cardiac arrest are among the most severe side effects. Electrolyte used to treat hypermagnesemia. |
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Term
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Definition
| Assess for absence of N/V. Antiemetic used to prevent N/V during labor and post-op. |
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Term
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Definition
| Assess pain. Monitor for respiratory dysfunction, depression, character, rate & rhythm. Monitor for CNS changes. Administer IM. Opioid analgesic used to control moderate to severe pain post-op. |
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Definition
| Inserted intravaginally and remains in place for 12 hrs. Pitocin is started 30 min. after removal. A small # of women experience uterine hyperstimulation with or without non-reassuring fetal status. Monitor maternal VS, cervical dilation, and effacement. Monitor fetal status for presence of reassuring FHR pattern. Terbutaline is administered if uterine hyperstimulation or non-reassuring fetal status occurs. A naturally occurring form of prostaglandin E2 used at term to ripen the cervix. Also can stimulate the smooth muscle of the uterus to enhance uterine contractions. |
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Term
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Definition
| Administered IV infusion which is increased by 2 mUn/min. Increments every 15 min to a max of 20 mUn/min. Assess FHR, maternal BP, frequency & duration of uterine contractions & uterine resting tone prior to each increase in infusion rate. D/C infusion if non-reassuring fetal status noted, uterine contractions are more frequent than every 2 min, duration of contractions exceeds more than 60 sec., insufficient relaxation of uterus between contractions or a steady increase in resting tone are noted. Hormone that exerts a selective stimulatory effect on the myometrial cells of the uterus to induce or augment labor contractions. Also given IV and/or intrauterine just after delivery to prevent hemorrhage. |
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Term
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Definition
| Dose 0.4mg given IV, subQ, IM. May repeat q2-3 min. Assess for symptoms of withdrawl: cramping, hypertension, anxiety, vomiting. VS q3-5 min. Monitor respiratory/cardiac status. Opioid antagonist administered IM/IV to treat respiratory depression induced by opioids by competing with opioids at opiate receptor sites. |
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Term
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Definition
| Rapid onset of action with a long duration of action (3hrs). Monitor fundal height and consistency, amt & character of lochia. Monitor BP for elevation. Toxicity includes N/V, headache, muscle pain, cord or numb fingers or toes, CP, and generalized weakness. Ergot alkaloid that stimulates smooth muscle, esp. uterine muscle, used postpartially to stimulate the uterus to contract. |
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Term
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Definition
| Provide assistance with ambulating. Call light within reach. Monitor for n/v and resp. rate< 10/min. Semisynthetic opiate analgesic given IV at the peak of a contraction to the laboring pt. |
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Term
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Definition
| Assess cause of constipation-fluids, diet, activity, constipating drugs. D/C if cramping, rectal bleeding, or n/v occur. Stool softener that works by increasing water and fat penetration in the intestine for easier passage of stool. Used primarily in post-op c-section pt’s. |
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Term
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Definition
| Given IM in deltoid to new mothers who have never received a dose of tdap ASAP after delivery. Should not be given to ppl with severe latex allergy. Side effects may include: pain, redness, swelling at injection site, mild fever, headache, tiredness, N/V/D. |
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Term
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Definition
| Beware of pt allergies due to prolonged action/excretion. Allergic rxn may be prolonged and severe-watch for anaphylaxis. A broad spectrum antiinfective given to group B strep positive mothers in labor or as prophylaxis in some mothers who have not been screen. |
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Term
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Definition
| Administer in small increments to prevent choking. Oral med for pain given to neonates on anterior portion of tongue 2 min prior to procedure for heel sticks, venipuncture, IM injection and circumcision. |
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Term
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Definition
| Take apical/radial pulse prior to administration. Notify of any dysrhthymia or bradycardia. Monitor I/O, JVD, and lower extremity edema. May have orthostatic hypotension, dizziness, depression , or fever. Alpha/Beta blocker used to treat mild to mod HTN. |
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Term
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Definition
| Assess for itching/dermatitis before administration. Monitor for changes in resp. status – rate, character, wheezing, and tightness in chest. Monitor VS (particularly BP). Antiinfective used to treat group B strep positive mothers who are allergic to penG. |
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Term
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Definition
| Postnatally must confirm that infant is Rh + and Coombs negative before administering IM in deltoid muscle. An immuneglobulin given to an Rh- mother in 28 wks gestation and again w/in 72 hrs of delivery if her infant is Rh+. |
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Term
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Definition
| IV or SubQ administration. Monitor FHR, uterine tone and contraction rate. Monitor mom for increased HR, hypotension, anxiety, chest tightening or pain. Contraindicated in renal failure. Catecholamine that relaxes uterine smooth muscle to stop preterm labor. |
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Term
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Definition
| Assess pain and temp. before and 1 hr after administration. Side effects include: GI bleeding, blood dyscrasias. Best given with food or milk to decrease GI symptoms but better absorbed on an empty stomach. Be sure pt is receiving no other NSAIDS concurrently as bleeding may occur. NSAID non-opioidanalgesic that is good for cramping pain. |
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Term
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Definition
| Medication given pre-op to neutralize stomach acid to prevent aspiration pneumonia. |
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Term
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Definition
| Topical emmolient applied to nipples of breast feeding mothers after q feeding to prevent/treat dryness/soreness. |
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Term
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Definition
| Medication used post-op to potentiate opiod analgesics, also can prevent pos-op N/V. |
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Term
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Definition
| Prostaglandin synthesis inhibitor given to stop pre-term labor in women <32 wks gestation. |
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