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9 Cards in this Set
- Front
- Back
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Tocolytics: to halt uterine contractions and prevent preterm birth
Intervention:
1)position pt on her side to enhance tocolytic therapy 2) monitor maternal VS, fetal status, and labor statys frequently 3) monitor signs of adverse reactions to the meds 4) monitor daily wgt. and I/O status, and provide fluid intake as prescribed
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Indomethicin (indocin)- relaxes uterine smooth muscle
Magnesium sulfate - central nervous system depressent; relaxes uterine smooth muscle, including the uterus, used to halt preterm labor and contractions; used for preeclamptic pt to prevent seizures
Nifedipine (procardia, Adalat, Nifedical)- ca+ channel blocker; relaxes smooth muscle, including the uterus, by blocking the entry
Terbutaline (Bethine) - beta-adrenergic agonist; relaxes smooth muscles inhibiting ytering avtivity causing bronchodilation
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Magnesium Levels |
4- 7.5
Calcium gluconate is antidote
call the dr if rr less than 12 breaths/min
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Betamethasone and Dexamethasone |
Surfactant for (28 to 32 weeks) premature labor; reduces the incidence of respiratory distress syndrome
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Opiod Analgesic: used to relieve moderate to severe pain associated with labor
administered IM or IV route
regular withdrawal symptoms in newborn: irritability, fever, excessive crying, diarrhea, tremors, yawning, sneezing, and seizures, and hyperactive reflexs. |
Opiod antidote= naloxone
may be repeated in a couple of hrs. to decrease nontoxic levels
Nalmefene (Revex) is a long acting opiod antagonist that does not require repeat doses
Can cause withdrawal in opiod dependent peopple
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Meperidine hydrochloride (demerol) and Hydromorphone hydrochloride (dilaudid) |
cause dizziness, n/v, sedation, decreased bp, decreased resp. diaphoresis, flushed face and urinary retention
May be prescribed with antiemedic such as promethazine (phenergan) to prevent nausea
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Fetanyl (Sublimaze) and Sufentanil (Sufenta) |
cause resp. depression, dizziness, drowsiness, hypotension, urinary retention, fetal narcosis and distress |
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Butrophanol tartrate (Stadole) and Nalbuphine (Nubain) |
cause confusion, sedation, sweating, n/v, hypotension, sinusoidal like fetal heart rhythm
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Do not give opioids if history of opioid dependency it can cause a withdrawl effect to the pt and the newborn |
Monitor VS, RR especially- if RR is less than 12 withold the med. and contact dr. - monitor FHR and characteristics of uterine contraction -Monitor BP changes (hypotension); maintain the client in recumbent position (elevate hip with a wedge pillow or other device) -record pt respose and level of pain - monito bladder for ditesion and retention -have an antidote naloxone (narcan) available especially if delivery is expected to occur during preak drup absorption time |
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Prostaglandins E2: Dinoprostone (Cervidil vaginal insert, Prepidil gel |
Ripens cervix, making it softer andc ause it to begin to dilate and efface stimulate uterine contractions administer vaginally
Uses: induction of labor or abortion
Monitor: FHR, maternal VS., Sx of labor |
