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17 Cards in this Set
- Front
- Back
Terbutaline Sulfate (Brethine)
Adrenergic |
Labs Reqd: Serum Glucose and K+
Use: Preterm Labor Main Side Effects: Tachycardia, Palpitations, Tremor and Anxiety Nurse Implications: monitor neonate serum glucose, due to hypoglycemia possibility; Notify MD if contractions persist |
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Magnesium sulfate
Anticonvulsant |
Labs Reqd: serum Mg and Renal Function
Use: preeclampsia to eclampsia Main Side Effects: Flushing, Sweating, Decreased RR, Bradycardia Nurse Implications: Monitor neonate for resp depression and hyporeflexia; mom's reflexes and monitor for resp depression |
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Btamethasone
corticosteroids |
Labs reqd: electrolytes
Use: prevents resp distress syndrome in newborns Main Side Effects: Fluid retention and HTN Nurse Implications: May cause hyperglycemia and hypokalemia; monitor for rales and crackles |
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Hydralazine Hydrochloride
Apresoline) Vasodilators |
Labs Reqd: CBC, electrolytes, ANA titer
Use: moderate to severe HTN Main Side Effects: Na retention and tachycardia Nurse Implications: admin with meals |
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Labetalol Hydrochloride
Beta blocker |
Labs Reqd: BUN, Liver Function (LDH, AST, ALT)
Use: HTN Main Side Effects: Ortho HTN, Fatigue and Weakness Nurse Implications: Asses OH, edema, and DAILY WEIGHTS |
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Enoxaparin Sodium
(Lovenox) Anticoagulants |
Labs Reqd: INR
Use: prevention of thromboembolic complications Main Side Effects: Anemia, Thrombocytopenia Nurse Implications: Assess for bleeding (gums, nosebleed, black tarry stools, hematuria) ONLY GIVEN SUB Q |
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Misoprostel
(Cytotec) Prostaglandin |
Labs Reqd: Pregnancy Test
Use: Prevention of gastric mucosal injury from NSAIDS; softens cervix Main Side Effects: ABD pain, Diarrhea, Miscarriage Nurse Implications: Admin with meals; monitor for balck tarry stools and ABD pain |
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Butorphanol Tartrate
(Stadol) Opioid agonists |
Labs Reqd: none
Use: pain management Main Side Effects: Confusion, Hallucinations, Sedation, Nausea, Sweating Nurse Implications: May increase Amylase and Lipase levels; Rapid admin may cause resp depress, hypotension, and cardiac arrest |
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Fentanyl Citrate
(Sublimaze) Opioid agonists |
Labs Reqd: none
Use: decreases perception of pain Main Side Effects: Apnea and Laryngospasm Nurse Implications: May increase Amylase and Lipase; Only given in moitored areas (ER, OR, ICU) |
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Oxytocin
(Pitocin) Oxytocic |
Labs Reqd: none
Use: start or augment labor contractions Main Side Effects: Increase BP Nurse Implications: Monitor uterine contractions, vitals and fetal response; may cause atony after delivery |
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Carboprost Tromethamine
(Hemabate) |
Labs Reqd: none
Use: stimulate contrations and control PP bleed Main Side Effects: Nausea, Diarrhea, Fever, Chills, Fluching Nurse Implications: Given IM in LARGE muscle; monitor uterus for bleeding |
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Rh (D) Immune Globulin
(RhoGam) Immunizing agent |
Labs Reqd: Type and Cross mom's blood to cords blood to determine need
Use: prevents production of Rh antibodies in Rh (-) pts exposed to Rh (+) blood Main Side Effects: Anemia Nurse Implications: Should be given 72 hours after delivery |
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Rubella Vaccine
(Meruvax II) Vaccines |
Labs Reqd: Pregnancy Test; Rubella antibodies
Use: Immunity to Rubella Main Side Effects: none Nurse Implications: Instruct pts not to get pregnant for at least 3 months |
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Medroxyprogesterone Acetate
(Depo-Provera) |
Labs Reqd: Pregnancy Test
Use: Supresses ovulation for 3 months Main Side Effects: Menstrual Irregluarities, HA, weight gain, breast tenderness and depression Nurse Implications: Must be given q90days; Women should take a calcium supplement daily |
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Erythromycin Ointment
(Ilotycin) Anti-infectives |
Labs Reqd: none
Use: prevent eye infection Main Side Effects: Irritation Nurse Implications: Massage eyelid gently after instillation |
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Methylergonovine Maleate
(Methergine) Oxytocic |
Labs Reqd: none
Use: Tx of PP hemorrhage Main Side Effects: N/V and cramps Nurse Implications: Monitor BP, HR and uterine response |
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Vitamin K
(AquaMephyton) Fat soluble vitamin |
Labs Reqd: none
Use: prevent of hemorrhage in newborn (helps blood to clot) Main Side Effects: Pain, redness and swelling at injection site Nurse Implications: IM within 1 hour of birth |