313 Drug Cards

Front 1

Oxytocin (what is brand)

Back 1

Pitocin

Front 2

Oxytocin (indications)

Back 2

Stimulate labor

Front 3

Oxytocin (assessment)

Back 3

Assess fetal maturity, presentation, uterine contractions; position patient on side; monitor maternal BP/pulse; monitor fetal HR; monitor for signs of water intoxication; monitor electrolytes; monitor contraction pattern; assess I/O’s; perform vaginal examinations; monitor for N/V, headache, hypotension; assess fetal status; if hyperstimulation-give oxygen with face mask;

Front 4

Prostaglandin E2 (what is brand)

Back 4

Prepidil; Cervidil

Front 5

Prostaglandin (Indications)

Back 5

To ripen (soften and thin) cervix , lowers the dose of oxytocin needed, shortens induction time;

Front 6

Prostaglandin E2 (side effects)

Back 6

Headache; N/V; diarrhea; fever; hypotension; tachysystole; hyperstimulation of uterus; fetal passage of myonium;

Front 7

Prostaglandin E2 (nursing implications)

Back 7

Informed consent ; have patient maintain supine position with lateral tilt or side-lying position for 2hrs. after insertion

Front 8

Methylergonovine (what is brand)

Back 8

Methergine

Front 9

Methylergonovine (action)

Back 9

Directly stimulates uterine and vascular smooth muscle;

Front 10

Methylergonovine - nursing implications

Back 10

Monitor BP before-don’t give if >140/90 mm Hg; monitor vaginal bleeding, uterine tone & for signs of ergotism-cold/numb fingers/toes, chest pain, N/V, headache, muscle pain, weakness;

Front 11

Methylergonovine - side effects

Back 11

Hypertension; N/V; headache; dizziness; tinnitus; dyspnea; hypotension; arrhythmias; chest pain; palpitations; cramps; diaphoresis;

Front 12

Metoclopramie (what is brand)

Back 12

Reglan

Front 13

Metoclopramie - use

Back 13

Treatment/prevention of nausea/vomiting; stimulates motility of upper GI tracts and accelerates gastric emptying;

Front 14

Metoclopramie - nursing implicaitons

Back 14

Assess for N/V, abdominal distention, bowel sounds prior to and after admin.; assess for extrapyramidal side effects; monitor for tardive dyskinesia; monitor for neuroleptic malignant syndrome; assess mood;

Front 15

Butorphanol ( what is brand)

Back 15

Stadol

Front 16

Butorphanol - action/use

Back 16

Relieve moderate to severe labor pain and post-operative C-section pain; less respiratory depression/nausea/vomiting; alters perception of and response to painful stimuli;

Front 17

Butorphanol - side effects

Back 17

Confusion; sedation; drowsiness; headache; dizziness; nervousness; sweating; maternal palpitations/tachycardia; bradycardia; transient-nonpathologic sinusoidal-like FHR rhythm; respriratory depression; N/V; difficulty with urination;

Front 18

Butorphanol

Back 18

Assess respiratory status, assess pain; assess BP/HR/pulses before and during; assess level of sedation-if RR<10;

Front 19

Sodium Citrate ( what is brand)

Back 19

Bicitra

Front 20

Sodium Citrate - action/use

Back 20

Neutralizes stomach acid prior to C-section

Front 21

Sodium Citrate - nursing implications

Back 21

Assess for signs of alkalosis; monitor I/O’s; monitor electrolytes; monitor for fluid overload; Diarrhea; fluid overload; hypernatremia; hypocalcemia; metabolic alkalosis; tetany;

Front 22

Meperidine (what is brand)

Back 22

Demerol

Front 23

Meperidine - use

Back 23

Relieve moderate to severe pain associated with labor or other operative procedures;

Front 24

Meperidine - nursing implications

Back 24

assess BP/HR/Pulses/Respirations before admin.-if RR <12 assess respiratory depression

Front 25

Ondasetron (what is brand)

Back 25

Zofran

Front 26

Ondasetron (use)

Back 26

Prevention of nausea/vomiting for C-sections;

Front 27

Ondasetron - nursing implications

Back 27

Headache; dizziness; drowsiness; fatigue; constipation; diarrhea; abdominal pain; increased liver enzymes; extrapyramidal reactions;
Assess for N/V, abdominal distention, BS prior to and after admin.; assess for extrapyramidal effects;

Front 28

Cefazolin (what is brand)

Back 28

Ancef

Front 29

Cefazolin - use

Back 29

Infection prophylaxis for C-sections

Front 30

Nursing implications

Back 30

Assess for signs of infection; obtain history of reactions to penicillin/cephalosporins; obtain culture and sensitivity before giving; monitor labs-kidney/liver;

Front 31

Hydromorphone Hydrochloride (what is brand)

Back 31

Dilaudid

Front 32

Hydromorphone hydrochloride - use

Back 32

Moderate to severe labor pain and post op pain after C-section;

Front 33

Hydromorphone hydrochloride - nursing implications

Back 33

Assess pain prior and during admin.; assess BP/HR/Pulses/Respirations before admin.-if RR <12 assess respiratory depression; assess bowel function; monitor for signs of toxicity-have Narcan available. assess FHR and pattern and uterine activity before and during admin