Labour and delivery meds to review.docx

Labour and delivery meds to review.docx - Medication...

This preview shows page 1 - 5 out of 22 pages.

Medication List/Pharmacology (Include all current medications including prn orders) Name (generic & brand) Frequency, Route, Recommended Safe Dose Class & Pregnancy/ Lactation Category Indication for Client Common Side Effects Nursing Implications & Client/Family Teaching
Image of page 1

Subscribe to view the full document.

Stadol/Butorphanol Tartrate. IV, IM, Nasal, ADULT: 0.5 – 2mg every 3-4 hours. Pediatric: not recommended younger than 18 years Pharm. Class: Opioid agonist- antagonist Ther. Class. analgesic, category C. Relief of moderate to severe pain. Analgesia during labor. Sedation before surgery. Supplement in balanced anesthesia. Dizziness, sedation, drowsiness, impaired visual acuity, nausea, loss of appetite Assess type, location, and intensity of pain before and 30–60 min after IM, 5 min after IV, and 60–90 min after intranasal administration Obtain history of hypersensitivity to butorphanol, physical dependence, pregnancy and lactation. Assess orientation, reflexes, strength, vision, vital signs, bowel sounds, normal output, liver function tests, renal function tests. Teach patient about side effects and report severe nausea, vomiting, palpitations, shortness of breath, nasal lesion or discomfort. Cervidil/Dinoprostone. Intravaginal. ADULT: 20mg; 0.5mg; 10mg Ther. Class. cervical ripening agent Pharm. Class. oxytocics prostaglandins Termination of pregnancy 12-20 weeks, evacuation of the uterus, management of nonmetastatic gestational trophoblastic Nausea, vomiting, diarrhea, uterine or vaginal pain, fever, headache, weakness, dizziness, AMNIOTIC FLUID EMBOLISM, fever, UTERINE RUPTURE, urinary tract infection, uterine hyperstimulatio n, vaginal/uterine pain Monitor frequency, duration, and force of contractions and uterine resting tone. Opioid analgesics may be administered for uterine pain. Monitor temperature, pulse, and BP periodically throughout therapy. Also tell your doctor if you have kidney or liver disease, glaucoma, a history of asthma, if you are 30 years or older, or if your pregnancy is at full term (40 weeks). Report severe pain, difficulty breathing, palpitation, eye pain, rash.
Image of page 2
Xylocaine 1%/Lidocaine HCL. Route: IM, IV. 0.5-4%, 5-100mg/mL Antiarrhythmi c management, treat ventricular fibrillation and for pain associate with post herpetic neuralgia. Category B Ther. Class. anesthetics (topical/local) antiarrhythmi cs (class IB) Drowsiness, dizziness, numbness, double vision, nausea, vomiting, burning, local irritation You should not receive this medicine if you are allergic to lidocaine injection or any other type of numbing medicine. Assess skin color, lesion, rashes, orientation, vital signs, ECG, bowel sounds, urine output, serum electrolytes, LFTs, renal function tests. Keep life support equipment available, monitor for malignant hyperthermia. Teach patient about side effects of this medication. Report difficulty speaking, thick tongue, numbness tingling, difficulty breathing, swelling or pain.
Image of page 3

Subscribe to view the full document.

Methergine/Methylergo novine Route: by mouth, IM, IV. Dosage: 0.4 -0.6mg every 6 – 12 hours for 2 – 7 days.
Image of page 4
Image of page 5
  • Fall '16
  • Pregnancy category, Assess

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern