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Generic Name (Brand Name

)

Drug Classification & Indication Met ergine %C& 'rgot (met ylergono"ine !l(aloid and maleate) Deri"ati"e )C& o*ytocic, lactation stimulant Indication& %re"ention and treatment of #ost#artum and #osta$ortion emorr age caused $y uterine atony or su$in"olution

Dosage, Route, Frequency I+& ,-. mg after deli"ery of anterior s oulder, after deli"ery of #lacenta, or during #uer#erium/ may $e re#eated as required at inter"als of .01 ours

Mec anism of !ction Met ergin 2 3timulates uterine smoot muscles 2 #roducing sustained contractions 2 t ere$y s ortens t e t ird stage of la$or

!d"erse Reaction Cardio"ascular& y#ertension, tem#orary c est #ain, #al#itation

Contraindication

Nursing Res#onsi$ility 8Be alert for ad"erse reactions and drug interactions8) is drug s ould $e used e*tremely carefully $ecause of it<s #otent "asoconstrictor action- I-+- use may induce sudden y#ertension and cere$ro"ascular accidents- !s a last resort, gi"e I-+- slo9ly o"er se"eral minutes and monitor $lood #ressure closely-

8 contraindicated in #atients y#ersensiti"e to met ylergono"ine or any com#onent of t e CN34allucinations, formulationdi55iness, sei5ure, 8ergot al(aloids are eadac e contraindicated 9it #otent in i$itors of Gastrointestinal& C:%;!1 (includes Nausea, "omiting, #rotease in i$itors, diarr ea, foul taste a5ole antifungals, and some macrolide 6ocal& anti$iotics)/ ) rom$o# le$itis y#ertension/ to*emia/ #regnancy 7tic& )innitus Renal& 4ematuria Res#iratory& Dys#nea, nasal congestion Miscellaneous& Dia# oresis

.seconds or longer. m6 of selecti"e intra"enous stimulation of fluid at a uterine and rate mammary gland sufficient to smoot muscles control 2 uterine #roducing sustained atony contractions 2 Induces la$or and mil( e=ection and reduces #ost #artum $leeding !d"erse Reaction Cardio"ascular& y#ertension/ increased eart rate.mm 4g .or if t ey last D. total #lacenta simultaneously $y more t an one route#re"ia or "asa #re"ia8 a"e . and arr ytmias CN3& sei5ures. as in 8Monitor IB7tran"erse lie/ in fetal distress 9 en deli"ery !ntidiuretic effect may lead to fluid o"erload. fetal eart rate.. a$ru#tion #lacentae. minutes a#art. "omiting. !ction Frequency I-+-& >. and coma #rematurity and in se"ere to*emia. lactation stimulant Indication& Induction of la$or at term/ control of #ost#artum $leeding/ ad=uncti"e t era#y in management of a$ortion Dosage. sto# infusion. im#aired uterine $lood flo9. isn@t imminent/ in sei5ures. Mec anism of Route. and 8 !lso contraindicated $lood loss q>Ain ce# alo#el"ic dis#ro#ortion or 8Be alert for ad"erse deli"ery t at requires reaction con"ersion. if t ey@re a$o"e A. its com#onentintrauterine #ressure. and cardiac out#ut. B%. 8ne"er gi"e o*ytocin y#ertonic uterine #atterns. and turn #atient on er side. 7*ytocin units $y I-+2 infusion in Causes #otent and >..C solution magnesium sulfate a"aila$le for rela*ation of t e myometrium8If contractions are less t an . to t e drug or any of eart rate.01. G?& titanic uterine contractions. and notify #rescri$er 8 !lso contraindicated in fetal distress- . coma from 9ater into*ication Gastrointestinal& Nausea. systemic "enous return. as# y*ia Contraindication Nursing Res#onsi$ility 8 Contraindicated in 8 Monitor and record #atients y#ersensiti"e uterine contractions. #el"ic ematoma 4ematologic& afi$rinogenemia Res#iratory& ano*ia.Generic Name (Brand Name) 7*ytocin Drug Classification & Indication %C& '*ogenous !gent )C& o*ytocic.

Generic Name (Brand Name) 4yoscine Butyl$romide Drug Classification & Indication %C& antic olinergic )C& antimuscarinic. fe"er GI& consti#ation. nausea. flus ing ''N)& dilated #u#ils. Route. urinary retention 3(in& ras . irrita$ility. o$structi"e uro#at y. # oto# o$ia. tac ycardia. & unsta$le C+- Nursing Res#onsi$ility 8Be alert for ad"erse reactions and drug interactions8'ncourage #t. ast ma. disorientation. anti#ar(insonism Indication& )o reduce secretions #erio#erati"ely- Dosage. #aralytic ileus.to "oid 8Monitor B% for #ossi$le y#otension8Monitor cer"ical effacement and dilatation- . antiemetic. dryness Contraindication Contraindicated in #atients 9it angle0 closure glaucoma. anti"ertigo drug. nausea and "omittin/ reduces secretions/ and $loc(s cardiac "agal refle*es2 %romotes cer"ical effacement !d"erse Reaction CN3& di55iness. Frequency I+& > mgBml Mec anism of !ction 4BB 2 In i$its muscarinic actions of acetylc oline in t e !N3 2 !ffecting neural #at 9ay 2 Relie"es s#asticity. restlessness. myast enia gra"is. intestinal atony. eadac e. $lurred "ision. C7%D. dys# agia G?& urinary esitancy. "omiting C+& #al#itations. dry mout .

. Frequency . 4emolytic !nemia. +II. $lood clotting factors increase- !d"erse Reaction 8) e synt etic form of +itamin E and +itamin E. and F are #roduced and increased2 From . (Menadione) can cause allergic reaction. and Cytoto*icity in li"er cells- Contraindication 8Contraindicated to t ose 9 o are y#ersensiti"e to any com#onent of +itamin E containing #roducts- Nursing Res#onsi$ility 8'nsure t at t e adequate dose is gi"en 9 ile follo9ing t e #ro#er IM Drug !dministration8!##ly #ressure to t e in=ection site to #re"ent furt er $leeding8Document t e gi"ing of t e medication to ne9$orn to #re"ent an accidental dou$ling of t e dose- .-> cc "ia IM to t e +astus 6ateralis of t e ne9$orn Mec anism of !ction 3terility of GI tract 2 !dministration of +itamin E 2 Increased 3ynt esis of #recursor #roteins in t e GI) mainly factors II.Generic Name (Brand Name) % ytomenadione (+itamin E. menaquinone) Indication 8)o stimulate t e clotting factors of t e ne9$orn 8)o #re"ent emorr agic disease of t e Ne9$orn- Dosage. Route.0G. % ylloquinone.C com#ared to adult clotting factor "alues. IF.

and cross-resistance among them is common.Generic Name (Brand Name) 7*ytetracycline ()erramycin 7#t almic 7intment. Nursing Res#onsi$ility • • Note for any signs of ad"erse reaction If #atient is 9earing any contact lenses ad"ice it to $e remo"ed 7$ser"e and ygiene !ssess if #atient is allergic to t e medication !ssess for any 9orsening signs and sym#toms • • • . is rapidly bactericidal. made available a particularly effective antimicrobial combination of the broad-spectrum antibiotic Terramycin as well as polymyxin B sulfate against primarily causative or secondarily infecting organisms. This action is exclusively against gram-negative organisms.Persons who have shown hypersensitivity to any of the components of Terramycin Ophthalmic Ointment. Polymyxin B sulfate. There is. It is particularly effective against Pseudomonas aeruginosa and aemophilus aegyptius fre!uently found in local infections of the eye. )era(. !d"erse Reaction 8Irritation 8Redness 8)earing 8Ic ing sensation Contraindication . thus. Route. Frequency > cm stri# a##lied from t e inner cant us of t e eye to t e outer cant us Mec anism of !ction Oxytetracycline is primarily bacteriostatic and is thought to exert its antimicrobial effect by the inhibition of protein synthesis. )erramycin 9it %olymy*in B) Indication )o #re"ent infection of t e eye 9 ic may deri"e from flora or #resent infections of t e "agina during normal s#ontaneous deli"ery )o #re"ent 7#t almia neonatorum in infants- Dosage. The drugs in the tetracycline class have closely similar antimicrobial spectra. Oxytetracycline is active against a wide range of gramnegative and gram-positive organisms. one of a group of related antibiotics derived from Bacillus polymyxa.