Term
|
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
|
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
|
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
|
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
|
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
|
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
|
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
|
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
|
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
|
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
|
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
|
Definition
given post-partum, NB 2 months SE-Redness, soreness, Fever NI-Consent, Give IM |
|
|