OB clinical Medication chart.docx - Medication List Generic and Brand name Dose\/Route MCH Use\/Indication Oxytocin Classification Oxytocic Pitocin LABOR

OB clinical Medication chart.docx - Medication List Generic...

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Medication List Generic and Brand name Dose/Route MCH Use/Indication Contraindications Adverse Effects Nursing Care/Pt. Education Oxytocin Classification: Oxytocic, Pitocin LABOR INDUCTION: IV 0.5-2 milliunits/min, may increase by 1- 2milliunits/min q15-60min POSTPARTUM BLEEDING: IM 10 units total dose IV infuse a total of 10-40 units at a rate of 20-40 milliunits/min after delivery -To initiate or improve uterine contraction at term -Control of postpartum hemorrhage and promotion of postpartum uterine involution -Also used to induce labor in cases of maternal diabetes, preeclampsia, eclampsia, and erythroblastosis fetalis -Hypersensitivity to oxytocin -unfavorable fetal position or presentations that are undeliverable -fetal distress -Fetal trauma from too rapid propulsion through pelvis fetal death, anaphylactic reactions, post-partum hemorrhage -fetal bradycardia and arrhythmias -Fetal hypoxia -maternal dyspnea -Report sudden, severe headache immediately to health care providers -Be aware of purpose and anticipate effect of oxytocin Magnesium Sulfate Classification: Saline Cathartic, Electrolyte Replacement, Anticonvulsant SEIZURES: IV 1g, may need to repeat dose PREECLAMPSIA, ECLAMPSIA: IM/IV 4-5g slowly; simultaneously, 5g IM in alternate buttocks q4h -prenterally to control seizures in toxemia of pregnancy -To inhibit premature labor -Myocardial damage, AV heart block -GI obstruction -headache, tremor, convulsions, dizziness, transient muscle rigidity -Edema, CHF, angina-like pain -Blurred vision -Fluid and electrolyte imbalance Report: thirst, muscle cramps or weakness, paresthesia, dyspnea, or headache Report confusion Terbutaline Classification: Beta-adrenergic receptor agonist, bronchodilator PO 5mg t.i.d. at 6h intervals Subcutaneous 0.25 mg q 15-30min up to 0.5mg in 4h -Asthma -To delay delivery in preterm labor -prevention and reversal of bronchospasm -hypersensitivities to sympathomimetic amines -severe hypertension -Nervousness, tremor, headache, light-headness, drowsiness, fatigue, seizures -Tachycardia, palpitations -sweating, muscle cramps -Learn how to take own pulse -consult prescriber if breathing difficulty is not relieved -do not self-dose this drug
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Medication List Generic and Brand name Dose/Route MCH Use/Indication Contraindications Adverse Effects Nursing Care/Pt. Education Ringers Lactate Classification: Sodium chloride, potassium chloride, sodium lactate, calcium chloride injection, solution - Dosage, rate and duration of administration are to be individualized and dependent upon the indication for use, the patient’s age, weight, concomitant treatment and clinical condition of the patient as well as laboratory determinations -used as a source of water and electrolytes or as an alkalinizing agent - risk of fatal ceftriaxone-calcium salt precipitation in the neonate’s bloodstream - ceftriaxone must not be administered simultaneously with intravenous calcium-containing solutions - Hypersensitivity/infusion reactions, including anaphylactic/anaphylactoi d reactions -chest pain and discomfort -Hyperkalemia -Hypervolemia -edema
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