Drug Name Classification Mechanism Indication/s Contraindication Side Effects/ Adverse Effects Nursing Responsibilities

of Action
Generic Name: Oxytocic  Oxytocin It is indicated for Contraindicated in patients For Maternal: Before:
Oxytocin Hormone increases the induction of labor in who have hyperactive or
sodium patients with a hypertonic uterus, Tachycardia, premature Assess history of hypersensitivity to Oxytocin
permeability medical indication for cephalopelvic ventricular contractions,
Brand Name: and its contents.
of uterine the initiation of near disproportion, fetal
Pitocin Pregnancy hypotension, nausea, vomiting,
myofibrils, term, when delivery is distress without imminent
Category Risk: indirectly uterine hypertonicity, abruptio Obtain vital signs, fetal heart rate, urinary
C in the best interests of delivery, when vaginal placenta, prolonged IV infusion of
Actual Dosage: stimulating input and output, strength, duration and
mother and fetus delivery is not advised.
contraction of Oxytocin may cause severe water frequency of contractions.
Route, and when membranes are
the uterine intoxication with seizure, coma,
Frequency: prematurely ruptured Patient with known
smooth and death. Advice to report immediately to the nurse for
and delivery is hypersensitivity to the
muscle. The any normal deviation.
20 units indicated. drug and its contents
uterus For Fetal:
oxytocin drip responds to
During:
at 30 gtts/min oxytocin more Drug-Drug Interaction: Bradycardia, CNS/Brain
readily in the Infuse oxytocin to current IVF slowly.
 Mefloquine Damage, low APGAR Score at 5
presence of
Route high estrogen minimum After:
IV Infusion concentration
s and with the Monitor vital signs, fetal heart rate, urinary
Frequency: increased input and output, strength, duration and
As ordered duration of
frequency of contractions.
pregnancy.
Monitor patient for signs and symptoms of
water intoxication. Hold the medication and
immediately notify the doctor.
Drug Name Classification Mechanism of Action Indication/s Contraindication Side Effects/ Adverse Nursing Responsibilities
Effects
Generic Name: Prostaglandin Stimulates the Improving the cervical Hypersensitivity to the Upset stomach, vomiting, Before:
drug or components
Dinoprostone myometrium of the inducibility (cervical diarrhea, dizziness, Store suppositories in freezer at
Gel Pregnancy gravid uterus to "ripening") in Patients for whom flushing of skin, temperature not exceeding –20° C
Category Risk: C contract in a manner pregnant women at or oxytocic drugs are headache, fever,
that is similar to the near term with a contraindicated
Brand Name: unpleasant vaginal Nurse determine patient’s history of
contractions seen in medical or obstetrical
Prepidil Gel History of cesarean discharge, chills and hypersensitivity reaction to
the term uterus during need for labor section or major uterine shivering, increase of Dinoprostone gel and its contents.
labor, resulting in the induction, and the surgery
evacuation of the management of vaginal bleeding several
Actual Dosage: Cephalopelvic days after treatment, Monitor uterine contractions and
products of conception postpartum
0.5 mg disproportion present chest pain, hives, observe for and report excessive
from the uterus. hemorrhage.
breathing difficulty, and vaginal bleeding and cramping pain.
Route Cases of fetal distress
were delivery not unusual swelling of face
Endocervical imminent Obtain vital signs for baseline data.

frequency: Drug-drug Interaction

During:
as ordered Place drug in the vagina immediately
 Other
oxytocic after removal from the foil package
agents
After:
Assess patient for signs of
hypersensitivity to the drug.

Monitor vital signs for and assess for

any significant changes.
Drug Name Classification Mechanism of Indication/s Contraindication Side Effects/ Adverse Nursing Responsibilities
Action Effects
Generic Name:   Cephalosporin Cefuroxime, like Cefuroxime may be Patients with Nausea, vomiting, diarrhe Before:
Cefuroxime antibiotics the penicillins, is used for prevention cephalosporin hypersensitivity o a, strange taste in
a beta-lactam susceptible mild to r cephamycin hypersensitivity. the mouth, stomachache, Determining patient’s history of
Brand Name: antibiotic. By moderate infection Cefuroxime should be used dizziness and drowsiness hypersensitivity to Cefuroxime and its
 Ceftin Pregnancy cautiously in patients may occur less frequent. contents as well as to penicillin drugs.
binding to s after childbirth. 
Category Risk: with hypersensitivity to
specific penicillin-
Actual Dosage, B binding proteins
penicillin. During:
route, (PBPs) located Drug-Drug Interaction: Allow the client to take medication with
frequency: inside the  Acetaminophen food to prevent GI upsent and enhances
500 mg / 1 tab
bacterial cell wall,  Aspirin absorption.
TID PO
it inhibits the  Amoxicillin/Clavulanate
third and last Let client swallow tablet as a whole.
 Azithromycin
stage of bacterial
 Diphenhydramine
cell wall After:
synthesis.  Cephalexin
Instruct patient to take the medication as
 Cymbalta (Duloxetine) prescribed and notify nurse immediately for
any normal deviation.