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24 Cards in this Set
- Front
- Back
UTERINE RELAXANTS
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TOCOLYTICS ARE GIVEN TO PREVENT PREMATURE DELIVERY (PRE 37TH WEEK)
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TOCOLYTICS DESIRED EFFECTS
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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
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TOCOLYTIC DRUGS (YOU-BETTER-MEMORIZE-SOME-PHARM)
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YUTOPAR (RITODRINE), BRETHINE (TERBUTALINE), MAGNESIUM SULFATE, PROCARDIA (NIFEDIPINE)
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UTERINE RELAXANT NURSING IMPLICATIONS
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RITODRINE (TN)
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YUTOPAR (GN)
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RITODRINE TREATMENT
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SUPPRESSION OF PRETERM LABOR
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RITODRINE SIDE EFFECTS
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PULMONARY EDEMA, TACHYCARDIA, HYPOTENSION, HYPERGLYCEMIA.
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UTERINE STIMULANTS
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(OXYTOCICS) DRUGS THAT STIMULATE CONTRACTIONS
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OXYTOCIC DRUGS
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PITOCIN (OXYTOCIN),METHERGINE (METHYLERGONOVINE MALEATE)
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NURSING IMPLICATIONS FOR UTERINE STIMULANTS
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1.MONITOR VITAL SIGNS, WATCH FOR HYPERTENSION 2.ASSESS UTERINE CONTRACTIONS 3.ASSESS FOR HEMORRHAGE (INCREASED HEART RATE IS FIRST SIGN)
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UTERINE STIMULANTS THREE SUBCLASSES
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1.OXYTOCIN, INDUCTION OF LABOR 2.ERGOT ALKALOIDS, CONTROL OF POST-PARTUM BLEEDING 3.PROSTAGLANDINS, ABORTION
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OXYTOCIN (GN)
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PITOCIN (TN)
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PITOCIN DESIRED EFFECT
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INDUCTION OF LABOR NEAR TERM AND STIMULATE UTERINE CONTRACTIONS
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PITOCIN SIDE EFFECTS
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NVD, HYPERTENSION, HEMORRHAGE, POSTPARTUM HEMORRHAGE, UTERINE TETANY
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PITOCIN CONTRA-INDICATION
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DON’T USE IF PREVIOUS C-SECTION
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METHERGINE/ERGOT ALKOIDS DESIRED EFFECT
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USED TO CONTROL BLEEDING AFTER DELIVERY OF THE PLACENTA AND TO CONTROL BLEEDING AFTER ABORTION
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METHERGINE SIDE EFFECTS
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RARE IF GIVEN IM OR ORAL
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METHERGINE/ERGOT ALKOIDS NURSING IMPLICATIONS
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IM CAN BE FOLLOWED BY ORAL, IV IS DANGEROUS
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ABORTIFACIENTS
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INDUCE ABORTION
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MIFEPRISTONE GN
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MIFEPREX (RU 486) TN
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MISOPROSTOL GN
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CYTOTEC TN
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MIFEPRISTONE & MISOPROSTOL NURSING IMPLICATION
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TAKE MIFEPREX FIRST ORALLY THEN TWO DAYS LATER INSERT 4 TABS OF CYTOTEC IN VAGINA, TAKE ACETAMINOPHEN OR IBUPROFEN, NOT ASA
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MIFEPRISTONE & MISOPROSTOL SIDE EFFECTS
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NAUSEA AND VOMITING, FEVER, HEAVY BLEEDING, CRAMPING
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UTERINE RELAXANT NURSING IMPLICATIONS
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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
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