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Details

OB Rx
Acute 1 Test 2 Rx given at labor
15
Nursing
Undergraduate 2
05/13/2012

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Cards

Term
Cervidil/Dinoprostone
Definition
Vaginal Insert, Cervical ripening, used for inducing labor
SE- H/A, N/V, diarrhea
N. Imp.-frequently asses degree of effacement and dilation, VS and FHR pattern
Term
Oxytocin/Pitocin
Definition
Hormones,
Used to initiate or reinforce labor, or control pospartum bleeding
SE-hyperstimulation of U, impaired blood flow=>hypoxia, rapid labor=>cervical lacerations, U rupture
NI- IV Pump^, Baseline of VS and FHR before, notify if any problems w/FHR or hypertonicity, Keep patient informed
Term
Sodium Citrate/Bicitra
Definition
Prevent aspiration during surgery, Neutralizes gastric acids
Used before C/S
SE-Diarrhea
N. Imp.- mon. signs of alkalosis (confusion, irritability, paresthesia(subq sensations) tetany, lbs gain
Term
Fentanyl&Naropin
Definition
opioid-alters response to perception of pain,CNS depression, Supplemental, Decrease pain, Naropin (anesthetic)
Used for C/S, post-p (not often), and pain
SE-Confusion, R. depression, Drowsiness, weakness, N/V
N. Imp.-M. RR and BP, Assess pain, Ass. Bowel function
Term
Ondansetron/Zofran
Definition
Antiemetic-blocks serotonin located in vagal nerve terminals=>
used for N/V following surgery, postpartum
SE- H/A, Dizziness, Drowsiness, Constipation, Diarrhea, Weakness,
N.I.-Ass. N/V, Ass. Bowel distention, bowel sounds
Term
Methylergonovine/Methergine
Definition
Oxytocic- Stim. uterine contractions
Used for Hemorrhage, NOT FOR INDUCTION
SE-Dizz. N/V, Cramps, HyperT, H/A, Allergic reaction
NI-BP, HR, uterine contractions
Term
Terbutaline/Brethaire (Brethine)
Definition
Bronchodilators- Suppresses uterine contractions
Used for preterm labor
SE- Nervousness, H/A, Tremors,Anxiety, Nausea, Tachycardia>120 DC Rx, Hyperglyc., Hypotentions <90/60 DC, FHR>180 DC,
NI-Mon. HR, BP, freq.&dur. of contractions, FHR, ass. Resp. problems of pul. Edema, hypoglycemia (and neonate), For overdose use propranolol
Term
Betamethason/Celestone
Definition
Corticosteroid- given to mother to prevent resp. distress in NB, C/S and preterm labor
NI- Ass. adrenal insuff.(hypoT, Wt. loss, N/V)
Term
Magnesium Sulfate
Definition
Used for hypertension, relax U, arrest U contr. for preterm labor, seizure prophylaxis and in preeclamptic or eclamptic
SE-Drowsiness, M. weakness, flushing, sweating, Resp. Depression
NI-BP,HR, RR, Newborn-hypoT, hyporeflexia, resp. depression, not compatible w/ many Rx, monitor serum Mg concentrates
Term
RhoGAM
Definition
SE-dizziness, H/A, Hypotension, Hypertension, Anemia, Pain at inj. site, Fever, N/V
NI-Do Not give to infant, Ed., give at room temp., mon. platelet, RBC, hemoglobin, and reticulocyte levels for effectiveness
Term
Rubella
Definition
SE- soreness, ^Temp, 2-4 weeks later may have a rash or sore throat
NI-Ed. about not getting preg. for 6 months, allergies to eggs, immunosupression
Term
Vit. K, Phytonadione/Aquamephyton
Definition
Vitamin, antidote-for prev. hemmorrhagic disease in newborn,
SE-Flushing, Rash, Allergic Reaction, Pain at inj. site,
NI-Give within 1 hour after birth
Term
Erythromycin/Ilotycin
Definition
Prevent bacteria from birth canal
SE-N/V
NI-Assess. for infection (eyes), wait to admin. till pictures and sees baby (within 1 hour), farthest eye first, do quickly because baby clamps second eye
Term
Hep. B/ Engerix B
Definition
Give prior to discharge (usually within 12 hours)
SE-Local soreness
NI-signed consent, Give IM in opposite thigh from Vit. K (usually Rt.)
Term
Tdap
Definition
given post-partum, NB 2 months
SE-Redness, soreness, Fever
NI-Consent, Give IM
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