Cotabato Medical Foundation College, Inc

Quezon Ave. Poblacion 8, Midsayap, Cotabato

Tel: 064-229-8207

a. Drug Study (All drugs Indicated for the Patient’s Illness

Generic Classification Dosage and Pharmacologic Indication and Side Effects Nursing Responsibilities
Name
Route of Effects / Contraindication
(Brand
Administration Mechanism of
Name)
Action
oxytocin exotoxics to induce labor - directly affects indication: stimulation of Hypertension, Assess vital signs for

- 0.5 to 1 neuroreceptor sites uterine contraction during dysrhythmias, baseline date

(Pitocin)
milliunit/ min to stimulate the third stage of labor and tachysystole, and

- IV infusion. contraction of the control of postpartum uterine monitor frequency,

- increased rate uterus during labor bleeding or hemorrhage hyperstimulation. duration, and strength of

by 1 to 2 especially toward the contraindication: contractions.

milliunits/ end of the -hypersensitivity to tachysystole is 6

minute at 30-60 pregnancy, helping oxytocin or more uterine monitor for signs of

minutes to expel the baby, it -cephalopelvic contractions in a uterine rupture, which

intervals also contracts disproportion 20-min window. include FHR

myoepithelial cells -fetal intolerance of labor (Hyperstimulation decelerations, suddenly

to reduce in the breast causing is defined as increased pain, loss of

 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207

postpartum milk to be expressed -anticipated non-vaginal uterine uterine contractions,

bleeding after from the alveoli into delivery contractions hemorrhage and rapidly

the expulsion of the ducts so that the lasting at least 2-5 developing hypovolemic

the placenta baby can obtain it by contraction per shock.

suckling 10-minute

- 10-40 units window.) Maintain careful I&O; be

- IV infusion alert to potential water

intoxication check for

blood loss.

Report changes in vital

signs and FHR,

specifically late

decelerations and any

vaginal bleeding.
 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207

Generic Name Classification Dosage and Pharmacologic Effects / Indication and Side Effects Nursing Responsibilities
(Brand Name)
Route of Mechanism of Action Contraindication
Administration

morphine Opioids Dosage: binds with opioid receptors indication: GI: severe - check for the doctor’s
effective for short
(Duramorph) Analgestic -2 mg to 10 mg/ within CNS, Inhibiting stomach or order
term management
70kg of body ascending pain pathways. abdominal pain - observe rights of drug
of pain
weight administration
contraindication:
-PNR URINARY: - perform personal hand
-hypersensitivity,
to morphine or hygiene

Route: other opiates -difficulty - patient with known

-respiratory urinating
-Intravenous seizure disorders should be
depression, acute
-changes in the carefully observed for
or severe
bronchial asthma, amount of urine evidence of morphine-
upper airway
induced seizure activity
 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207

obstruction CNS: - for safety reasons, it is

mental/mood recommended that

-may cause severe
hypotension in an changes administration of

individual whose DURAMORPH (morphine

ability to maintain
EENT: vision injection) by the epidural or
blood pressure
changes intrathecal routes be limited
has already been
comprised by a to the lumbar area.
depleted blood CARDIO: slow
volume or a
or fast heart
concurrent
administration of beat
drugs or general
anesthesia
 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207

a. Drug Study (All drugs Indicated for the Patient’s Illness

Generic Name Classification Dosage and Pharmacologic Effects / Indication and Side Effects Nursing Responsibilities
(Brand Name)
Route of Mechanism of Action Contraindication
Administration
Misoprostol antiulcer agents -200 mcg 4 increased risk of diarrhea Treat for induced CNS : headache  Instruct patient to
times daily with magnesium gastric ulcer. Acts as GI : abdominal take medication as
(Cytotec) -PO containing antiacids. a prostaglandin pain, diarrhea, directed for the full
analogue, decreasing constipation, course of therapy,
gastric acid secretion dyspepsia, even if feeling
(antisecretory effect) flatulence, better. Take missed
and increasing the nausea, doses as soon as
production f vomiting. possible unless
protective mucus GU: almost time for next
(cytoprotective miscarriage, dose; do not double
effect). cause uterine menstrual doses. Emphasizes
contractions. dosorders. that sharing of this
medication may be
Contraindication: dangerous.
 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207

contraindicated in  advise patient to

hypersensitivity to avoid alcohol and
prostaglandin; foods that may
pregnancy or cause an increase in
lactation (when used GI irritation.
to prevent NSAID-
induced gastric
injury).
 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207

Generic Name Classification Dosage and Pharmacologic Indication and Side Effects Nursing Responsibilities
(Brand Name)
Route of Effects / Contraindication
Administration Mechanism of
Action
Carboprost prostaglandin Injection/solution; it binds the INDICATION: Mild nausea before:
(hemabate)
F2 Alpha 250mcg; IM prostaglandin failure of expulsion of fetus vomiting Check the doctor’s order
E2 receptor, during the course of diarrhea apply patients right of
drug administration
causing treatment by another determine history of
myometrial method; premature rupture mild fever; chills; allergies to the drug
contractions, of membranes in wash hands
causing the intrauterine methods with flushing (warmth,
during:
induction of loss of drug and insufficient redness, or tingly
administer through im
labour or the or absent uterine activity; feeling);
after:
expulsion of requirement of a repeat - encourage to report side
the placenta. intrauterine installation of cough hiccups; effects
- allow notifying if there
the drug for expulsion of the mild pelvic pain are rashes or
fetus; inadvertent or or menstrual-type superinfections or
adverse reactions
spontaneous rupture of cramps.
- document
membranes in the presence administration
- wash hands
of a previable fetus and
 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207

absence of adequate activity

for expulsion. Also, for the
treatment of postpartum
hemorrhage due to uterine
atony which has not
responded to conventional
methods of management.
CONTRAINDICATIONS
:
diabetes; anemia; high
blood pressure; hardening
of the arteries due to plaque
buildup; low blood
pressure; asthma; a disease
of the lung; liver problems;
decreased kidney function;
an infection of the female
reproductive organs called
pelvic inflammatory
disease;seizuress; third
increased cardiovascular
 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207

event risk

Generic Classification Dosage and Pharmacologic Indication and Side Effects Nursing Responsibilities
Name
Route of Effects / Contraindication
(Brand
Administration Mechanism of
Name)
Action
oxytocin exotoxics to induce labor - directly affects 2indication: stimulation of Hypertension, Assess vital signs for

- 0.5 to 1 neuroreceptor sites uterine contraction during dysrhythmias, baseline date

(Pitocin)
milliunit/ min to stimulate the third stage of labor and tachysystole, and

- IV infusion. contraction of the control of postpartum uterine monitor frequency,

- increased rate uterus during labor bleeding or hemorrhage hyperstimulation. duration, and strength of

by 1 to 2 especially toward the contraindication: contractions.

milliunits/ end of the -hypersensitivity to tachysystole is 6

minute at 30-60 pregnancy, helping oxytocin or more uterine monitor for signs of
 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207

minutes to expel the baby, it -cephalopelvic contractions in a uterine rupture, which

intervals also contracts disproportion 20-min window. include FHR

myoepithelial cells -fetal intolerance of labor (Hyperstimulation decelerations, suddenly

to reduce in the breast causing -anticipated non-vaginal is defined as increased pain, loss of

postpartum milk to be expressed delivery uterine uterine contractions,

bleeding after from the alveoli into contractions hemorrhage and rapidly

the expulsion of the ducts so that the lasting at least 2-5 developing hypovolemic

the placenta baby can obtain it by contraction per shock.

suckling 10-minute
- 10-40 units window.) Maintain careful I&O; be

- IV infusion alert to potential water

intoxication check for

blood loss.

Report changes in vital

signs and FHR,

 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207

specifically late

decelerations and any

vaginal bleeding.

I. NURSING MANAGEMENT

a. Nursing Diagnosis (Write five according to priority needs.)

1. risk for infection r/t loss of uterine sterility with childbirth

2. deficient fluid volume r/t moderate blood loss after birth as evidenced by blood loss of about 1667 mL of blood for

separation of the placenta.

3. Risk for ineffective tissue perfusion related to hemorrhage

4. Acute pain r/t accumulation of blood underneath the skin of the perineum as evidenced by an inability to urinate

5. Risk for impaired attachment r/t interruption in the bonding process

6. Anxiety r/t the threat of change in the health status as evidence by restlessness and distress
 Cotabato Medical Foundation College, Inc
Quezon Ave. Poblacion 8, Midsayap, Cotabato
Tel: 064-229-8207