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postpartum
action normal dose contraindications side effects interventions
7
Pharmacology
Graduate
02/08/2015

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Term
Empirin 3
Definition
Aspirin is known as a salicylate and a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking a certain natural substance in your body to reduce pain and swelling.15-60 mg every 4 hours
1) hypersensitivity or intolerance to aspirin or codeine,(2) severe bleeding, disorders of coagulation or primary hemostasis, including hemophilia, hypoprothrombinemia, von Willebrand†s disease, the thrombocytopenias, thrombasthenia and other ill-defined hereditary platelet dysfunctions, as well as such associated conditions as severe vitamin K deficiency and severe liver damage,(3) anticoagulant therapy, and
(4) peptic ulcer, or other serious gastrointestinal lesions.mild constipation, nausea;heartburn, upset stomach, bloating, gas, diarrhea;
headache, dizziness, tired feeling; or.
mild itching or rash
pregnancy category 3
Term
Percocet
Definition
Treats moderate to moderately severe pain. This medicine contains a narcotic pain reliever
Pregnancy Cate 3
Abdominal or stomach pain black, tarry stools chills dark urine dizziness fever headache itching light-colored stools loss of appetite nausea rash unpleasant breath odor unusual tiredness or weakness vomiting of blood yellow eyes or skin
PERCOCET 2.5 mg/325 mg PERCOCET 5 mg/325 mg; PERCOCET 7.5 mg/325 mg; PERCOCET 10 mg/325 mg
Hypersensitivity to oxycodone, acetaminophen, or any component of the formulation; severe respiratory depression (in absence of resuscitative equipment or ventilatory support); pregnancy (prolonged periods or high doses at term
Monitor for pain relief, respiratory and mental status, blood pressure, constipation
Term
Percodan
Definition
4.8355/325pain, moderate-mod. severe
[1 tab PO q6h prn] Max: 12 tabs/day; Info: taper dose gradually to D/C if long-term use
hypersens. to drug/class/compon.
ASA or NSAID-induced asthma or urticaria
aspirin triad GI bleeding coagulation disorder HTN, uncontrolled paralytic ileus G6PD deficiency respiratory depression, severe hypercarbia asthma, acute or severe influenza, varicella, or febrile viral infection (pts <20 yo) avoid abrupt withdrawal (long-term use
lightheadedness dizziness drowsiness nausea vomiting uphoria dysphoria constipation pruritus hypotension dyspepsia abdominal pain rash tinnitus hyperuricemia ecchymosis bleeding
Preg D
assess pain frequently physical/psychological dependance assess bowel functions narcan is antidote
Term
Drug name: Colace

Generic: Ducosate sodium

Category: Laxitive
Definition
Action: soft formed BM within 24-48 hours
Indications: Prevention of constipation in PT who should avoid straining, such as MI
Adverse effects: Throat irritation, cramps, rashes
Contraindications: Hypersensitivity, abdominal pain,nausea,vomiting
Interactions: none significant
Nursing Implications: Assess BM color, consistency, and amount produces
Assess abdominal distension, presence od bowel sounds, usual pattern of bowel functions
Teachings:Use short-term Use other forms of bowel regulations like diet, fluid intake, and activity cardiac PT should avoid straining during BM Dont take with other laxatives Dont use if experiencing abdominal pain, nausea, vomiting, or fever
Term
RhoGam
Definition
routine prophylaxis]Dose: 300 mcg IM x1 at 28 wk gestation, then 300 mcg IM x1 w/in 72h of delivery[fetomaternal hemorrhage risk]Dose: 300 mcg IM x1 w/in 72h of obstetrical complication or invasive procedure; Info: examples incl. miscarriage, abortion, ectopic pregnancy, amniocentesis, chorionic villus sampling
[excessive fetomaternal hemorrhage]
Dose: individualize dose IM x1 w/in 72h of exposure; Info: 300 mcg dose provides sufficient antibody to prevent Rh sensitization for RBC exposure up to 15 mL
Rh-incompatible transfusion
[300 mcg IM x1 w/in 72h of RBC exposure]
Info: if RBC exposure >15 mL, give 20 mcg/mL RBC exposure IM x1
hypersens. to drug/class/compon. Rh-positive pts IV administration
injection site reactions and temp elevations
Preg C
exact mechanism of action unknown; suppresses immune response of Rh-negative pts to Rh-positive RBCs
Term
Lanolin
Definition
forms temporary barrier over exposed tissues, maintaining moisture and protecting from external irritants
no pregnancy indications
to help with dryness adn used for all ages
no contraindications unless to medication
Term
ephedrine
Definition
25-50 mg SC/IM q3-4h prn] Alt: 5-25 mg IV q5-10min until stable, then q3-4h prn; Max: 150 mg/24h; Info: for anesthesia-related, post-sympathectomy, and drug-related hypotension bronchospasm, acute [12.5-25 mg IM/SC q3-4h prn]
Alt: 5-25 mg IV q5-10min until stable, then q3-4h prn; Max: 150 mg/24h
hypersens. to drug/class/compon.
MAO inhibitor use w/in 14 days
breastfeeding hyperthyroidism CAD HTN arrhythmias urinary retention insomnia nausea headache dizziness CNS stimulation anxiety palpitations tachycardia BP elevated tremor urinary retention
Preg C
stimulates beta adrenergic receptors and release of norepinephrine (sympathomimetic
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