Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
The dose of Stadol(butorphanol) can be from ?-? IV/IM q ?-? hrs.
|
0.5-2mg IV/IM,
3-4hrs |
|
|
The onset of Stadol(butorphanol) is ?-? mins IV, and IM takes longer. The duration is ?-? hrs. we should try and ? the birth so the baby doesn't have ? problems.
|
2-10 min,
3-4hrs, time, respiratory depression |
|
|
Stadol(butorphanol) has some narcotic antagonist effects, so we should not give this med to ? dependent women.
|
opiate
|
|
|
Side effects of Stadol(burorphanol)are ? ,?, ?, ?, ?, ?(N-H-S-C-I-D) and for FHR considerations we need to observe for transient ? wave forms on the FHRM. If the pt is already having any of these side effects we should ? the med.
|
N/V, HA, sedation,
confusion, insomnia, dizziness, pseudosinusoidal , hold |
|
|
What must we do before we give any medication to a pregnant woman ? mom and baby. (VS+N-H-S-C-I-D) for mom and ? for baby.
|
asess mom and baby,
VS-N/V-HA-Sedation-Confusion- Isomnia-Dizziness, VS for baby |
|
|
At Troy Beaumont the doctors like to give ? to pts before an epidural if she can't relax.
|
Nubain
|
|
|
The normal dose of Nubain(Nalbuphine) is ?-? mg q ?-? hrs given ?,?,?
|
10-20mg, 3-6hrs, IV,IM,SubQ
|
|
|
The onset of Nubain(Nalbuphine) given IV is ?-?min and if given IM it usually takes < ? min. It has a duration of ?-?hrs its effect can be compared to ?
|
2-3min,
<15min, 2-3hrs, Morphine Sulfate |
|
|
Side effects of Nubain(Nalbuphine) on the newborn include ? depression and a transient ? pattern on the FHRM. This med is also a narcotic agonist so do not give to ? dependent women.
|
respiratory,
pseudosinusoidal, opiate |
|
|
When we are adminstering these analgesic medicines we should push the meds over ? minutes slowly and monitor the ? it has. If you notice that it is having the desired effect in 1 minute then we should ?
|
3,
effects, not administer the rest of the medicine |
|
|
The normal dose of Talwin(Pentazocine) for labor is ? mg IV or ? mg IM every ?-? hrs onset ?-?min, duration ?-?hrs and it can be administered ?-? times during labor.
|
20 mgIV,
30 mg IM, q2-3hrs, 2-3min, 2-3hrs, 2-3 times |
|
|
Talwin(Pentazocine) is a ? analgesic, it has agonist actions at ? opioid receptors, it also has antagonist/ ? actions. Do not give this med to a pt that has a Hx of ?
|
potent,
2, sedative, Opiate abuse |
|
|
What can a side effect be to the infant when mom is given Talwin(pentazocine) ?
|
apnea
|
|
|
Demerol(meperidine) is an ? agonist it is a morphine like compound. It promotes analgesia mediated through change in the perception of pain at the ? and higher levels of the ?
|
opioid,
spinal cord, CNS |
|
|
If Demerol(meperidine) is given IV then the normal dose is ? mg ? and given over ? min. The normal dose of Demerol for OB IM/SQ ?-?mg while pt is in ? labor, and may be repeated q?-?hrs.
|
25 mg diluted,
1min, 50-100mg, active, 1-3hrs, |
|
|
St. John's Wort increases ? it is normally taken to help decrease ?
|
sedation,
depression |
|
|
What is the most common nursing Dx for a pt taking analgesics ?
|
At risk for injury
|
|
|
What happens to the FHR tracing on the FHRM as far as variability when analgesics are administered, there will be ? variability.
|
decreased
|
|
|
what is the goal for care when the nursing Dx is at risk for injury as far as mom ? as far as baby ?
|
"The pt will have no injury by end of labor aeb pt will etc....
"The fetus will be at category one on FHRM |
|
|
Stadol's other name is ?
Nubain's other name is ? Talwain's other name is ? Demerol's other name is ? |
Butorphanol,
Nalbuphine, pentazocine, meperidine |
