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(AP=Antepartum, IP=Intrapartum (labor and delivery) , PP=Postpartum, NB= Newborn)MedicationClassificationUses/PurposeModeofactionSide Effects/AdverseReactions/Contraindication/Nursing ImplicationsPatientResponse/AssessmentLabsHalesBreastfeedingclassificationAmericaine Spray, Dermoplast Spray (PP)Classification: AnestheticAnesthetics, Local(numbing medication)Uses: oral irritation, pain, itching, sore throat, hemorrhoids Inhibits conduction of nerves impulses from sensory nervesRash, irritation,, sensistation CTs: hypersensitivityNI: assess pain, location, duration, andcharacteristics before and after. Assess for infection- redness and drainageTeaching: avoid contact with eyes, do not use for a prolonged timeEvaluation: Decrease in itching, inflammation, and pain UnknownAmpicillin (IP,)PPClassification: anti infectiveAntibioticPenicillin fights bacteria-effective for meningitis, GI/GU infections, endocarditis and skin infectionsInterferes with cell wall replication and makes it susceptible to lysis Rash, UrticariaDiarrhea, N/V, oliguria, bone marrowdepression,, anaphalyxsisCT: hypersensitivity to penicillins, antimicrobial resistance NI: assess for infection, WBC baseline, C&S, Nephrotoxicity, I&O, assess for anaphylaxis Improvement in the signs and symptoms of infection is indicative of efficacyPreg: only use if needed.It is excreted in breast milk CBChepatic, and renal function, WBC, RBC, HgB, HcTL1(PC) BBenadryl(AP,PP)Classification: Antihistamine Sedatives,allergic DiphenhydrAMINE hydrochloridDizziness, Dyskinesia, Sedated, Allergy: decreased rhinitis, CBCOnly use if the benefit outweighs fetal risk. Do not
antihistamine reaction, treat motion sickness and nighttime sleep aid.e acts as anantihistamine by competing with histamine for receptor sites on effector cells Somnolence,Nasal mucosa dry, Pharyngeal dryness, Thick sputum, Bronchialurticaria, itchinessinsomnia: improved sleepmotion sickness/nausea/vomiting: improvement in nausea/vomitingParkinson's: rigidity, tremor, gait disturbancesNI: assess forurinary retention, dysuria, and check the respiratory status use if breastfeeding. Cat. BL2Betamethasone (AP)Classification: CorticosteroidCorticosteroidsrelieve skin irritation, such as itching and flaking from eczema Crosses cellmembrane to attach to receptors todecrease inflammation, and itching HypertensionDermatologicErythema , Folliculitis Depression, Euphoria, hyperglycemia, cushing syndrome, burningCI: hypersensitivity, do not use on face, axilla, or groin Eval: Improvement in symptoms. Decrease in itching, decrease in inflammationTeaching: Do not use with occlusive dressing, teach how to apply (PC) C*Precaution with breastfeeding Bupivacaine (Marcaine)(IP)Class: local anestheticLocal anestheticprevent and to treat pain Blocks the nerve impulses that send pain signalsto your brain SE: anginal pain, blurred vision, anxiety, bradycardia, cardiac arrest, chills, dizziness, drowsiness, edema, HTNNI: monitor for serious side effects, for signs and symptoms of overdoseVital signsRenal function L2(PC) C