Med Cards

1.
Cytotec
Classification: Gastric antisecretory
Use: Stimulation of uterus resulting in contraction.
Action: Dug is converted in body into Prostaglandin E analogs, which
inhibit gastric acid, Increases mucus, and bicarbonate production in
stomach.
Dosage/Route: 200 mcg qid with meals PO.
Side Effects: Headache, cramps, menstrual disorders, spotting, polyuria,
dysuria. Warning-can cause miscarriage and uterine rupture.
Contraindications: Hypersensitivity to drug/prostaglandins, pregnancy.
Nursing Implications: Avoid breastfeeding, monitor VS esp BP,
discontinue if possible pregnancy.
2. Betamethisone
Classification: Topical glucorticoid
Use: Short-term administration to high-risk mothers before delivery to
prevent respiratory distress syndrome in the newborn.
Action: Antipruritic, antiinflammatory
Side Effects: acne, atrophy, epidermal thinning, purpura, striae Nursing
Implications: Monitor temp; if fever develops, product should be
discontinued. Monitor for systemic absorption, increased temp,
inflammation, irritation
3. Terbutaline
Classification: Selective B2 agonist; Bronchodilator
Use(s): Bronchospasm, hyperkalemia, and premature labor.
Action: Relaxes bronchial smooth muscle by acting on B2 Adrenergic
receptors that relax bronchial smooth muscle.
Contraindications: Hypersensitivity to sympathomimetics, narrow angle
glaucoma, tachydysrhythmias.
Side Effects: N/V, palpitations, tachycardia, tremors, nausea,
nervousness, headache, and cardiac arrest.
Nursing implications: Assess respiratory function, vitals, and tolerance
to treatment, monitor FHT’s, uterine activity
4. ProcardiaClassification: Calcium Channel Blocker
This study source was downloaded by 100000831632963 from CourseHero.com on 01-29-2022 13:41:11 GMT -06:00
https://www.coursehero.com/file/22014169/OB-Medication-Cards/
Uses of Medication: treat hypertension (high blood pressure) and angina
(chest pain).
Side Effects: dizziness, lightheadedness, headache, insomnia,
palpitations, nausea/vomiting
Common interactions: cimetidine, ranitidine, propranolol
Usual Dosage(s): IR tabs: 5, 10, 20 mg
SR tabs: 30, 60 mgNursing Implications: careful monitoring of blood
pressure during the initial administration and titration of Procardia, Do
not give with grapefruit juice
5. Pitocin
Classification: OxytocicsUse:to induce labor, strengthen labor
contractions during childbirth, control bleeding after childbirth, or to
induce an abortion.
Action: binds to oxytocin receptors in myometrium, increasing
intracellular Ca and stimulating uterine contractions.
Dose/Route: Postpartum: IV 10-40unit in 100ml ; Im 3-10unit after
delivery of placentaAntepartum: Start IM/IV at 1-2mU/m slowly
increase until contractions reach desired rate
Side Effects: Cardiac arrhythmia,hypertensive episodes, postpartum
hemorrhage, fetal brachycardia
Contraindication: pregnancy, vaginal delivery, unfavorable fetal position,
cephalopelvic disproportion fetal distress when delivery not imminent
Nursing Implications: Caution with fetal position and maturity, monitor
mother and fetal VS, Safety precautions(uterine rupture/fetal distress)
6. Methergine
Classification: oxytoxic
Use: Treatment/prevention of postpartum hemorrhage due to uterine
atony, may be given second stage of labor following delivery of anterior
shoulder.
Action: increases uterine contraction force and frequency.
Dose/Route: 0.2 mg PO tid-qid up to 1wk OR 0.2 mg IM q2-4h prn up to
5 dose.
Side Effects: headache, hypertension, possible symptoms of ergot
poisoning.
Contraindications: hypersensitivity, threatened spontaneous abortion.
Nursing Implications: Caution with use, not routinely used before
delivery, have emergency equipment available animal studies show
adverse fetal effects
7. Hemabate
Uses of Medication: Termination of pregnancy and refractory
postpartum uterine bleeding
Side Effects: Headache, nausea/vomiting, diarrhea, uterine rupture,
dyspnea, hiccups, fever, flushing
Common interactions: caution in patients with history of asthma,
hypotension or hypertension, cardiovascular, adrenal, renal or hepatic
disease.
Usual Dosage(s): nitial: 250 mcg; may repeat at 15- to 90-minute
intervals to a total dose of 2 mg
Nursing Implications: Observe carefully for reports of wheezing and
chest pain, changes in BP and pulse, monitor for contractions and
excessive cramping, nausea, vomiting, diarrhea, fever may result.
Monitor vaginal bleeding and SE’s.
8. Stadol
Classification: opioid agonist-antagonist analgesic
Uses of Medication: pain during labor.
Side Effects: Drowsiness, dizziness, blurred vision, flushing,
lightheadedness, headache, nausea, vomiting, constipation, dry mouth,
and sweating may occur.
Common interactions: This medication should not be used if you have
certain medical conditions. consult your doctor or pharmacist if you
have: physical dependence on narcotics, severe infectious diarrhea,
severe breathing problems
Usual Dosage(s): Injection, USP and Nasal Spray
Nursing Implications: Crosses placental barrier and goes to baby.
9. Nubain
Classification: Analgesic
Use: Relief of moderate/severe pain, sedation
Action: not determined, possible activity in subcortical areas in brain
Dose/Route: 10mg/70kg weight q3-6h IM/Iv/SC, do not exceed 20mg
per dose.
Side Effects: sedation, dizziness, vertigo, autonomic responses, possible
rash.
Contraindications: hypersensitivity, use caution in breast-feeding
mothers due to small amount of drug in the milk.
Nursing Implications: caution with lactation
10. Phenergan
Classification: AntihistamineUse: Symptomatic treatment of allergic
disorders medicated by histamine, pain caused by childbirth
Action: non-selectively antagonizes central and peripheral histamine H1
receptors; possesses anticholinergic properties, resulting in antiemetic
and sedative effects
Dose/Route: 25-50 mg PO/IM/IV x1
Side Effects: drowsiness, confusion, sedation, blurred vision,
disorientation
Contraindications: hypersensitvity, neonates,nursing mothers, lower
respiratory tract symptoms
Nursing Implications: Avoid breast-feeding; caution, results show
adverse fetal effects
11.Erythromycin Oint Opt

Classification: Broad-Spectrum Antiinfectives-Microlide
Use(s): Bacterial infections, Legionaire’s disease, syphilis.
Action: Binds to P site of 50s ribosomal subunit, interfereing w/
protein synthesis.
Contraindications: Hypersens., cisapride use, astemizole use,
impaired liver function, impaired hearing.
Side Effects: anaphylaxis, N/V, diarrhea, anorexia, abd pain, abd
cramps, pruritus,
Nursing implications: observe for allergic reactions
12. Silver NitrateClassification: Antibiotic
Use: Astringent, cauterization of wounds, germicidal, removal of
granulation tissue, corns, and warts.
Action: This germicidal action is attributed to the precipitation of
bacterial proteins by liberated silver ions. Silver nitrate coagulates
cellular protein to form an eschar, and this mode of action is the
postulated mechanism for control of benign hematuria, rhinitis, and
recurrent pneumothorax.
Contraindication: Hypersensitivity to silver nitrate or any component of
the formulation; not for use on broken skin, cuts, or wounds.
Side effects: Burning sensation of skin, skin discoloration, skin irritation.
Nursing implications: Patient may experience skin discoloration. Have
patient report immediately to prescriber severe skin irritation.
13. Fentanyl
Uses of Medication:used to manage moderate to severe pain, usually in
people who have chronic pain.
Side Effects:Drowsiness, Lightheadedness, Weakness and fatigue,
Feelings of elation, Dry mouth, Difficulty urinating, Difficulty breathing.
Common interactions: Do not mix with methohexital, pentobarbital,
thiopental
Usual Dosage(s): skin patch, lozenge, pills, shots, a film that dissolves in
your mouth, or by IV
Nursing Implications:History: Hypersensitivity to fentanyl or narcotics,
physical dependence on a narcotic analgesic, pregnancy, labor, lactation,
COPD, respiratory depression, anoxia. Physical: Orientation, reflexes,
bilateral grip strength, affect; pupil size, vision; P, auscultation, BP; R.
14. Narcan /Naloxone
Classification: Opioid antagonist
Use(s): Reverses narcotics, treat respiratory depression caused by
narcotics and narcotic overdose
Action: Competes with opioids at opiate receptor sites.
Contraindications: Hypersensitivity
Side Effects: Drowsiness, nervousness, Rapid pulse, V-Tach, V-Fib.
Nursing implications: Withdrawal symptoms, respiratory
15. Rhogam (Rh-D immune globulin)

Classification: ImmunosuppresantUse: used to suppress antibody
formation in women with Rh blood after abortion/pregnancy
termination up to and including week 12 of gestation unless father has
Rh- blood. Also used to suppress antibody formation in woman with Rh-
blood after delivery, abdominal trauma during pregnancy.
Action: exact mechanism of action unknown; suppresses immune
response of Rh-negative pts to Rh-positive RBCs.
Dose/ Route: Antepartum:300 mcg IM x1 at 28 wk gestation, then 300
mcg IM x1 w/in 72h of delivery/Postpartum: 300 mcg IM x1 w/in 72h of
delivery.
Side Effects: Headache, lethargy, myalgia, localized stiffness.
Contraindications: hypersensitivity, Ph positive patients, Iv
administration, antepartum prophylaxis at week 28Nursing
Implications: Do not administer to infant, proceed with caution with
lactation.
16. Docusate Sodium
Classification: Laxative
Indication: Constipation; adjunct to painful anorectal conditions
(hemorrhoids)
Contraindications: Don’t use with mineral oil; intestinal obstruction,
acute abdominal pain, N/V
Nursing Considerations: Take with full glass of water; no laxative action;
do not use > 1 week AE: throat irritation, mild craps, rash
17. Dulcolax
Classification: Laxative
Use: produce a BM with a soft, formed stool.
Action: Directly stimulates peristaltic activity of the intestinal tract,
increase fluid level that results in defecation. Used for general
constipation.
Dose/Route: 5-15mg single dose daily.
Side effects: diarrhea, fatigue, risk impaired skin integrity, risk for
deficient fluid volume.
Contraindications: Acute surgical abdomen, undiagnosed pain,
appendicitis, fecal impaction, obstruction of intestinal tractNursing
Implications: Use caution when pregnant, avoid breast-feeding,
encourage fluid intake and increased activity
18. Magnesium Sulfate
Classification: Anticonvulsant
Use: prevent seizures in severe pre-eclampsia, eclampsia, or toxemia of
pregnancy.
Action: Inhibition of peropheral neuromuscular transmission
Dose/Route: 4g(1-5g) IM q4h prn
Side Effects: dressed reflexes, flushing, drowsiness, hypotension
Contraindications: do not administer within 2h before delivery in
toxemic pregnant women
Nursing Implications: Monitor signs for seizure activity, emotional
support, patellar reflex positive before dose given
19. Calcium Gluconate

Classification: Mineral
Uses of Medication: prevent and to treat calcium deficiencies.
Side Effects: nausea or vomiting, decreased appetite, constipation, dry
mouth or increased thirst or increased urination.
Common interactions: digoxin, antacids or other calcium supplements,
calcitriol or vitamin D supplements; or doxycycline, minocycline.
Usual Dosage(s): Oral, IV
Nursing Implications: antidote for overdose - IV magnesium sulphate,
caution in digitalized patients, renal disease, serum calcium levels
should be monitored
Ads by
Powered by TCPDF (www.tcpdf.org)

Med Cards

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Med Cards

Uploaded by

Copyright:

Available Formats

1.

4. ProcardiaClassification: Calcium Channel Blocker

11.Erythromycin Oint Opt

15. Rhogam (Rh-D immune globulin)

19. Calcium Gluconate

You might also like