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13 Cards in this Set
- Front
- Back
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Pitocin
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Generic: Pitocin
Trade: Oxytocin Route/Dosage: Postpartum hemorrhage: Adult IV 10-40 units in 1000 ml non-hydrating dilvent infused at 20-40 mU/min IM 10 units after placenta contraction stress test (CST) Adult IV .5 mU/min increase q20 min until 3 contractions within 10 min – stimulation of labor – IV 1-2 mU/min, increase by 1-2 mU q15 – 60 min until contractions occur; then decrease Incomplete abortion: IV INF 10 units/500ml O5W or .9% NaCl at 10-20 mU/min, max 30 units/12 hr Available forms: inj 10 units/ml Side Effects: CNS: *Seizures *Tetanic Contractions Fetus: *Intracranial hemorrhage GU: *Abruptioplacentae *Uterine blood flow RESP: *Asphyxia BLACK BOX WARNING: Elective induction of labor TEACH Pt./Fam: Report increase in blood loss, abdominal cramps, fever, foul smelling lochia – Contractions will be similar to menstrual cramps with gradual increase in pain Usage: Stimulation, induction of labor: missed or incomplete abortion; postpartum bleeding Nursing Interventions: I&O ratio – Respiration – B/P Pulse – Resp. rate, rhythm, depth – Length/Intensity/Duration of contraction – contraction over 1 minute or no contraction – turn patient on side and discontinue drug – Fetal Distress |
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Meperidine
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Generic: Meperidine
Trade: Demerol, Meperitab Route: PO/Subcut/IM/IV Adult/Child Labor analgesia subcut/IM Preoperatively Adult/Child IM/Subcut Dosage: Adult 50-100 mg q 1-3 hr Child: 1.2-2mg/kg 30-90 min. before surgery Adult Iv: 25-50 mg single dose Child IV and Adolsescent IV 0.35-1 mg/kg Side Effects: Increased intracranial pressure, seizures, respiratory depression, anaphylaxis Usage: Moderate to severe Px, preoperatively and post operatively Nursing Interventions: Assess Px, I&O ratio, Dizzy, Drowsiness, Allergic reactions, rashes |
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Bicitrate
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Generic: Citric Acid, Sodium Citrate Trade: Bicitra
Route/Dosage: Based on condition and response to treatment - Can be in liquid form and should be mixed with at least 4 oz water Side Effects: Nausea, vomiting, diarrhea, and stomach pain Usage: Makes urine less acidic, used to prevent gout or kidney stones or metabolic acidosis in people with kidney problems. Nursing Interventions: Patient should report swelling of hands/ankles/feet, tingling/numbness of hands/feet weakness, fast/slow/irregular heartbeat, muscle spasms. |
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Terbutaline
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Generic: Brethine, Bricarye
Trade: Terbutaline Route: Bronchodilatrion Adult/Child PO 2.5-5 mg q6hr max 15 mg/24 hr child 12-15 yr PO 2.5 mg tid (g6 hr) Dosage: Bronchospasm Adult/Child > 12 year PO 2.5-5 mg q 8 hours Subcut: .25 mg q 15-30 min max .5 mg in 4 hr preterm – unlabeled Side Effects: *Cardiac Arrest, tremors, tachycardia Usage: bronchospasm, hypercalemia Nursing Interventions: Assess: Respiratory, lungs, dyspnea, wheezing |
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Lanolin
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Generic: Lanolin Top
Side Effects: burning, stinging, redness or irritation, serious allergic reaction rare, precaution: breast feeding Can be harmful if swallowed Usage: Treats/prevents rough, dry, scaly, itchy skin and minor skin irritations |
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Ampicillin
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Generic: Ampicillin
Trade: Ampicin, Apo-Ampi Route/Dosage: Systematic infection GI/GU infection: Novo Ampicillin, Nu-Ampi, Omipen, Adult and child PO” 250-500 mg q6hr Child > 20 kg PO: 50-100 mg/kg/g 6hr Bacterial menegitis: Adult IM/IV 500 mg 3g q6hr; Child IM/IV: 200-400 mg/in/doses Gonorrhea: Adult and child > 45 kg PO: 3.5 g w/1g probenecid Renal disease: Adult and Child: CCr 30-50 ml/min q6-8hr; CCr 10-30 ml/min dose q8-12hr; CCr<10 ml/min dose q12hr Side Effects: CNS: coma, seizures GI: pseudo-membranous colitis GU: glomerulonephritis HEMA: bone marrow depression, granulocutopia Misc: Anaphylaxis, serum sickness, Stevens-Johnson syndrome, toxic epidermal necrology Precautions: Pregnancy (B), breastfeeding, nenates Usage: Effective for gram-possitive cocci, gram-negative cocci, gram negative bacilli, gram-positive bacilli Nursing Interventions: Assess: I & O ratio, Patient with compromised renal system, toxicity may occure, AST, ALT, WBC, Hgb and Hct, bleeding time, urinanalysis, protein, BUN, C&S before therapy, Bowel pattern, skin eruptions, respiratory rate, character, wheezing, chest tightness, Anaphylaxis |
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Ibuprofen
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Generic: Ibuprofen
Trade: Advil, Motrin Route/Dosage: PO Adults: anti-inflam 400-800 mg 3-4 times daily (not to exceed 3200/day) PO Child 6 mo-1yr: anti inflame 30-50 mg/kg/day in 3-4 divided doses max dose 2.4 g/day PO Infants & Child: Analgesic 4-10 mg/kg/dose q 6-8 hr IV Adults: Analgesic 400-800 mg q 6 hr not to exceed 3200 mg/day PO Child OTC Dose: 6mo-1yr 50 mg q 6-8 hr every year after that add 50 mg Side Effects: CNS: headache, dizziness, drowsiness, psychic disturbances EENT: amblyopia, blurred vision, tinnitus CV: arrhythmias, edema, hypertension, GI: GI bleeding, hepatitis, constipation, dyspepsia, nausea, vomiting Syst: Anaphylaxis Black Box: bleeding, stroke Contraindications: Pregnancy (B) 1st and 2nd trimester Precautions: Pregnancy (B) 1st & 2nd trimester, breastfeeding, children Usage: Rhematoid arthritis, osteoarthritis, primary dysmenorrheal, gout, dental pain muscoskeletal disorders, fever, migraine Nursing Interventions: Assess: reduce pain Evaluate: check urinary patterns, weight, edema, pain, fever, indicate nephroxicity, avoid alcohol, NSAIDS, salicylates, bleeding may occur |
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Hep B Vaccine
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Generic: hepatitis B immune globulin
Trade: BayHep B, Nabi-HB, CA+C Pregnancy Route/Dosage: IM Adults: .06 mL/kg (usual dose 3-5 mL) within 7 days of exposure repeated 28-30 days after exposure IM neonates: .5 mL within 12 hrs of birth Side Effects: CNS: dizziness, faintness, malaise, weakness Derm: pruritus, rashes, uticaria Local: erythema IM site, pain, swelling, tenderness MS: joint pain Misc: anaphylactic shock and angioedema Usage: Prevetion of hepatitis B, provides passive immunity, infection of P+S known to be exposed including neonates to HBg – Hg - + females Nursing Interventions: Advise patient to report symptoms of anaphylaxis (hypotension, flushing, chest tightness, fever) Determine date of exposure (24 hrs) no later 7 days for injection |
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Duramorph
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Generic: Epimorph, Astramorph
Trade: Morphine Route/Dosage: Chldren: Subcut/IV: 0.05-0.2 mg/kg max 15 mg PO: 0.2-0.5 q 4-6 Side Effects: CNS: drowsiness, dizziness CV: brachycardia, cardiac arrest, tachycardia & respiratory depression, thrombocytopemia, respiratory, depression Usage: moderate to severe Px Nursing Intervention: assess Px, location, type, character, constipation common, I+O ration check for decrease output, check respiratory <12/min. |
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Magnesium Sulfate
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Pregnancy Cat A mineral electrolyte replacement supplements
Route/Doasge: Adults: IM/IV Severe def: 8-12 g/day in divided doses Mild: 1 g q 6 hrs for 4 doses of 250 mg/kg over 4 hr Children: IM/IV Children > 1 mo: 25-50 mg/kg/dose q 4-6 hrs for 3-4 dose, max single dose 2 g Neonates IV: 25-50 mg/kg/dose q 8-12 hrs for 2-3 doses Side Effects: CNS: drowsiness Resp: decreased respiratory rate CV: arrhythmias, brachycardia, hypotension GI: Diarrhea MS: Muscle weakness Derm: flushing, sweating Metabolic: hypothermia Indications: Tx/prevention hypomagnesium/Tx HT Usage: Preterm labor, Tx torsade de pointes, anticonvulsant associated with severe eclampsia, pre-eclampsia, or acute nephritis Nursing Interventions: Monitor pulse, BP, repirations, ECG, respiration should be 16 before each dose. Monitor newborns for hypotension, hyporeflexia, respiratory depression. Monitor intake and output ratios. Monitor serum M6 levels and renal function periodically |
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Fentanyl
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Generic: actis, fentora, onsolis, sublimaze
Route/Dosage: Anesthetic Adult IV 25-100mcg q 2-3 min prm Adult/Child >12 hrs IM/IV: 2-20 mcg/kg/ Neonate IV Bol; 0.5-3 mcg/kg/dose Side Effects: bradycardia, arrest, hypo/hypertension, respiratory depression, arrest, laryngospasm, inhibits ascending pathways Usage: controls moderate to severe Px, pre-post operation, anesthesia, premedication conscious sedation Nursing Interventions: after parenteral route note min rigidity, hepatic and renal function tests CNS Assess: drowsiness, dizzy, allergic reaction, respiratory function |
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Vitamin K
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Generic: Phytonadione, Mephyton
Trade: Vitamin K Route/Dosage: Subcut PO/IM Adult: 2.5-25 mg Child PO: 2.5-5 mg Infant PO/IM: 2 mg Neonates IM: 0.5-1 mg within 1 hr after birth Hypoprothrombinemia caused by oral anti coagulants Adults PO/subcut/IM: 1-10 mg Side effects: hemolytic anemia, hemoslohiaurea, bronchospasm, respiratory arrest, hyperbillirubinemia Usage: prevention of hemorrhasic Dx of newborn, vit K malabsorption, prevention of hypoprothrombinemia caused by oral anticoagulants Nursing Interventions: Assess bleeding, stools, urine, nutritional status foods for diet, report symptoms of bleeding |
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Rhogan
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Test
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