CNS: headache, backache, septic meningitis, persistent sensoryCV: hypotensionDermatologic: urticaria, pruritus, erythema, edemaGU: urinary retention, urinary or fecal incontinence
Check drug concentrations carefully
Establish safety precautions if CNS changes occur
Teach client to report difficulty speaking, thick tongue, numbness, tingling,difficulty breathing, pain or numbness at site, swelling or pain at site
5. Generic Name:
-In low doses, acts relatively selectively at beta 2-adrenergic receptors tocause bronchodilation and relax the pregnant uterus; at higher doses, beta 1selectivity is lost and the drug acts at beta 2 receptors to cause typicalsympathomimetic cardiac effects
-Tocolytic to prevent preterm labor
-Contraindicated with hypersensitivity to terbutaline, tachyarrythmias,tachycardia, hypertension, lactation.
CNS: restlessness, apprehension, anxiety, fear, CNS stimulation, hyperkinesias,insomnia, tremorsCV: cardiac arrhythmias, palpitations, angina pain, changes in BP and ECGGI: Nausea, vomiting, heartburn, unusual or bad tasteRespiratory: Respiratory difficulties, pulmonary edema, coughing, bronchospasmNursing Considerations:-Use minimal doses for minimal periods of time; drug tolerance can occur-Maintain a beta-adrenergic blocker on standby in case cardiac arrhythmiasoccur-Teach client to report chest pain, dizziness, insomnia, weakness, tremor
6. Generic Name:
Stimulates the myometrium of the pregnant uterus to contract; similar to thecontractions of the uterus during labor, thus evacuating the contents of theuterus.
-Termination of pregnancy 13-20 wk from the first day of the LMP-Evacuation of the uterus in instance of missed abortion or intrauterine fetaldeath in the 2nd trimester-Postpartum hemorrhage due to uterine atony unresponsive to conventionalmethods
-Contraindicated with allergy to prostaglandin preparations, acute PID; activecardiac,hepatic, pulmonary, renal disease
CNS: headache, paersthesias, flushing, anxiety, weakness, syncope, dizzinessCV: hypotension, arrhythmias, chest painGI: vomiting, diarrhes, nausea
-Assess allergy to the drug-Monitor uterine tone and vaginal discharge during procedure and severaldays after to assess drug effects and recovery-Ensure adequate hydration