Medication OB.docx - (AP=Antepartum IP=Intrapartum(labor...

( AP=Antepartum, IP=Intrapartum (labor and delivery) , PP=Postpartum, NB= Newborn)
Medication
Classification
Uses/P
urpose
Mode
of
action
Side
Effects/Adv
erse
Reactions/
Contraindic
ation/
Nursing
Implications
Patient
Response/
Assessment
Labs Hales
Breastfeeding
classification
Americaine Spray,
Dermoplast Spray
(PP)
Classification:
Anesthetic
Anesthetics,
Local
(numbing
medication)
Uses: oral
irritation, pain,
itching, sore
throat,
hemorrhoids
Inhibits
conduction
of nerves
impulses
from
sensory
nerves
Rash,
irritation,,
sensistation
CTs:
hypersensitiv
ity
NI: assess
pain,
location,
duration, and
characteristic
s before and
after. Assess
for infection-
redness and
drainage
Teaching:
avoid contact
with eyes, do
not use for a
prolonged
time
Evaluation:
Decrease in
itching,
inflammation,
and pain
Unknown
Ampicillin (IP, )PP
Classification: anti
infective
Antibiotic
Penicillin fights
bacteria
-effective for
meningitis,
GI/GU
infections,
endocarditis
and skin
infections
Interferes
with cell
wall
replication
and makes
it
susceptible
to lysis
Rash,
Urticaria
Diarrhea,
N/V, oliguria,
bone marrow
depression,,
anaphalyxsis
CT:
hypersensitiv
ity to
penicillins,
antimicrobial
resistance
NI: assess
for infection,
WBC
baseline,
C&S,
Nephrotoxicit
y, I&O,
assess for
anaphylaxis
Improvement
in the signs
and
symptoms of
infection is
indicative of
efficacy
Preg: only
use if needed.
It is excreted
in breast milk
CBC
hepatic, and
renal
function,
WBC, RBC,
HgB, HcT
L1
(PC) B
Benadryl (AP, PP)
Classification:
Antihistamine
Sedatives,
allergic
Diphenhydr
AMINE
hydrochlorid
Dizziness,
Dyskinesia,
Sedated,
Allergy:
decreased
rhinitis,
CBC Only use if the
benefit outweighs
fetal risk. Do not

antihistamine reaction, treat
motion
sickness and
nighttime sleep
aid.
e acts as an
antihistamin
e by
competing
with
histamine
for receptor
sites on
effector
cells
Somnolence,
Nasal
mucosa dry,
Pharyngeal
dryness,
Thick
sputum,
Bronchial
urticaria,
itchiness
insomnia:
improved
sleep
motion
sickness/naus
ea/vomiting:
improvement
in
nausea/vomiti
ng
Parkinson's:
rigidity,
tremor, gait
disturbances
NI: assess for
urinary
retention,
dysuria, and
check the
respiratory
status
use if
breastfeeding.
Cat. B
L2
Betamethasone (AP)
Classification:
Corticosteroid
Corticosteroids
relieve skin
irritation, such
as itching and
flaking from
eczema
Crosses cell
membrane
to attach to
receptors to
decrease
inflammatio
n, and
itching
Hypertension
Dermatologic
Erythema ,
Folliculitis
Depression,
Euphoria,
hyperglycemi
a, cushing
syndrome,
burning
CI:
hypersensitiv
ity, do not
use on face,
axilla, or
groin
Eval:
Improvement
in symptoms.
Decrease in
itching,
decrease in
inflammation
Teaching: Do
not use with
occlusive
dressing,
teach how to
apply
(PC) C
*Precaution with
breastfeeding
Bupivacaine
(Marcaine) (IP)
Class: local anesthetic
Local
anesthetic
prevent and to
treat pain
Blocks the
nerve
impulses
that send
pain signals
to your
brain
SE: anginal
pain, blurred
vision,
anxiety,
bradycardia,
cardiac
arrest, chills,
dizziness,
drowsiness,
edema, HTN
NI: monitor
for serious
side effects,
for signs and
symptoms of
overdose
Vital signs
Renal
function
L2
(PC) C