Clinical prep OB meds.docx - NUR 251 Nursing Science III Medications Obstetrics\/Newborn Medication\/Class Generic and Trade Name Diclegis Dose and Route

Clinical prep OB meds.docx - NUR 251 Nursing Science III...

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NUR 251 Nursing Science III Medications Obstetrics/Newborn Medication/Class Generic and Trade Name Dose and Route Indications for Use IN OB Side Effects Nursing Implications Diclegis Doxylamine/Pyridoxine Treatment of N/V Used when other tx doesn’t work Drowsiness Give on empty stomach w/ full glass of water Advise to avoid breast feeding during therapy Hydralazine (Apresoline) Tx hypertension induced by pregnancy Dizziness, tachycardia, sodium retention, arrhythmia, lupus, peripheral neuropathy Assess BP and pulse perform lab on electrolytes and ANA before and after treatment Labetalol (Normodyne) Treat hypertension by relaxing blood vessels and slowing HR Arrhythmias, Bradycardia, CHF, pulmonary edema, OH Monitor BP and pulse Monitor I&Os for fluid overload Methyldopa (Aldomet) Tx HTN Sedation, myocarditis, drug induced hepatitis, fever Monitor BP, pulse, temp Monitor I&O, daily weight for edema Kidney fx test since med can cause increased BUN, CR, K+, NA+ Monitor renal and hepatic fx Nifedipine (Procardia) Manages pre- ecclampsia (HTN) Arrhythmia, HF, steven johnson syndrome, SOB, confusion ECG I&O, daily weight Rash Educate on reporting rash/swelling/irregula r heart beat/N/V/hypotension 1
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NUR 251 Nursing Science III Medications Obstetrics/Newborn Medication/Class Generic and Trade Name Dose and Route Indications for Use IN OB Side Effects Nursing Implications Butorphanol (Stadol) Moderate to severe pain, provides analgesia during labor Dizziness, sedation, N/V, dry mouth, diaphoresis Assess pain, BP, pulse and respirations during drug admin Decrease drug if RR decreases to <10 Nalbuphine hydrochloride (Nubain) Provides analgesia during labor and surgery Dizziness, sedation (fetus and mom), respiratory depression (fetus and mom), palpitations BP, Pulse, RR If RR <10, assess level of sedation Assess risk of opioid abuse/addiction Encourage use of incentive spirometer Morphine sulfate (Duramorph) Manages of moderate to severe pain Confusion, sedation, hypotension, constipation, respiratory depression Pain, BP, pulse, RR Oxytocin (Pitocin) Induces labor and control postpartum bleeding Maternal: coma, seizure, painful contractions Fetus: intracranial hemorrhage, asphyxia Don’t use with anticipated nonvaginal delivery Monitor maternal electrolyte since it may cause water intoxication Monitor maternal pulse, BP and fetal HR Misoprostol (OB use) Termination of pregnancy Causes uterine contractions Side effects: ABD pain, diarrhea, headache, miscarriages, menstrual disorder Education on patients with childbearing on using this med during pregnancy Monitor uterine cramping and bleeding during therapy Cervidi Produces contractions Initiates softening, effacement, and dilation of
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