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24 Cards in this Set

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UTERINE RELAXANTS
TOCOLYTICS ARE GIVEN TO PREVENT PREMATURE DELIVERY (PRE 37TH WEEK)
TOCOLYTICS DESIRED EFFECTS
1.INHIBIT LABOR AND MAINTAIN PREGNANCY 2.MOST EFFECTIVE IF CERVIX IS LESS THAN 4 CM AND MEMBRANES ARE INTACT 3.RELAX SMOOTH MUSCLE OF UTERUS
TOCOLYTIC DRUGS (YOU-BETTER-MEMORIZE-SOME-PHARM)
YUTOPAR (RITODRINE), BRETHINE (TERBUTALINE), MAGNESIUM SULFATE, PROCARDIA (NIFEDIPINE)
UTERINE RELAXANT NURSING IMPLICATIONS
RITODRINE (TN)
YUTOPAR (GN)
RITODRINE TREATMENT
SUPPRESSION OF PRETERM LABOR
RITODRINE SIDE EFFECTS
PULMONARY EDEMA, TACHYCARDIA, HYPOTENSION, HYPERGLYCEMIA.
UTERINE STIMULANTS
(OXYTOCICS) DRUGS THAT STIMULATE CONTRACTIONS
OXYTOCIC DRUGS
PITOCIN (OXYTOCIN),METHERGINE (METHYLERGONOVINE MALEATE)
NURSING IMPLICATIONS FOR UTERINE STIMULANTS
1.MONITOR VITAL SIGNS, WATCH FOR HYPERTENSION 2.ASSESS UTERINE CONTRACTIONS 3.ASSESS FOR HEMORRHAGE (INCREASED HEART RATE IS FIRST SIGN)
UTERINE STIMULANTS THREE SUBCLASSES
1.OXYTOCIN, INDUCTION OF LABOR 2.ERGOT ALKALOIDS, CONTROL OF POST-PARTUM BLEEDING 3.PROSTAGLANDINS, ABORTION
OXYTOCIN (GN)
PITOCIN (TN)
PITOCIN DESIRED EFFECT
INDUCTION OF LABOR NEAR TERM AND STIMULATE UTERINE CONTRACTIONS
PITOCIN SIDE EFFECTS
NVD, HYPERTENSION, HEMORRHAGE, POSTPARTUM HEMORRHAGE, UTERINE TETANY
PITOCIN CONTRA-INDICATION
DON’T USE IF PREVIOUS C-SECTION
METHERGINE/ERGOT ALKOIDS DESIRED EFFECT
USED TO CONTROL BLEEDING AFTER DELIVERY OF THE PLACENTA AND TO CONTROL BLEEDING AFTER ABORTION
METHERGINE SIDE EFFECTS
RARE IF GIVEN IM OR ORAL
METHERGINE/ERGOT ALKOIDS NURSING IMPLICATIONS
IM CAN BE FOLLOWED BY ORAL, IV IS DANGEROUS
ABORTIFACIENTS
INDUCE ABORTION
MIFEPRISTONE GN
MIFEPREX (RU 486) TN
MISOPROSTOL GN
CYTOTEC TN
MIFEPRISTONE & MISOPROSTOL NURSING IMPLICATION
TAKE MIFEPREX FIRST ORALLY THEN TWO DAYS LATER INSERT 4 TABS OF CYTOTEC IN VAGINA, TAKE ACETAMINOPHEN OR IBUPROFEN, NOT ASA
MIFEPRISTONE & MISOPROSTOL SIDE EFFECTS
NAUSEA AND VOMITING, FEVER, HEAVY BLEEDING, CRAMPING
UTERINE RELAXANT NURSING IMPLICATIONS
1.MONITOR MATERNAL VITAL SIGNS 2.PLACE ON LEFT SIDE 3.MONITOR FETAL HEART TONES 4.MONITOR BLOOD GLUCOSE LEVELS 5.MONITOR LUNG SOUNDS FOR CRACKLES, EDEMA IN EXTREMITIES, I&O 6.MAGNESIUM SULFATE (IV) USED IN ECLAMPSIA WILL ALSO RELAX UTERUS