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10 Cards in this Set
- Front
- Back
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RhoGAM - use
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Prevent isoimmunization in Rh-negative patients
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RhoGAM - adverse reactions
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elevated temp
tenderness at injection site CI for Rh-positive clients CI - history of systemic allergic rx do not administer to the newborn |
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RhoGAM - interventions
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IM injection at 28 wks and 72 hrs after delivery
Never IV Monitor temp Monitor injection site |
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Tocolytics
Indomethacin - use prostaglandin inhibitor (relaxes smooth muscle) |
To halt uterine contractions and prevent preterm birth
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Indomethacin - adverse reactions
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maternal - N/V, dyspepsia, dizzy
fetal - premature closure of ductus arteriosus newborn - bronchopulmonary dysplasia, resp distress, ICP, necrotizing enterocolitis, hyperbilirubinemia |
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Indomethacin - interventions
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use if all else fails, only <32 wks
CI for clients w/bleeding potential, PUD or oligohydraminos Follow protocol Determine amniotic fluid volume and function of ductus arteriosus before therapy and w/in 48 hr of D/C |
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Tocolytics
Magnesium sulfate - uses CNS depressant, relaxes smooth muscle |
To halt preterm labor contractions, to prevent seizures in preeclamptic clients
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Mag sulfate - adverse reactions
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Maternal - depressed respirations, depressed DTRs, hypotension, extreme muscle weakness, flushing, decreased urine output, pulmonary edema, serum mag levels >9 mg/dL
newborn - hypotonia and sleepiness |
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Mag sulfate - interventions
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use an IV controller pump for admin
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Tocolytics
Nefedipine (Procardia, Adalat, Nifedical) - use Calcium channel blocker, relaxes smooth muscle by blocking Ca entry |
relaxes smooth muscles, including the uterus, by blocking calcium entry
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