Medication OB.docx - (AP=Antepartum IP=Intrapartum(labor and delivery PP=Postpartum NB= Newborn Medication Classification Uses\/P urpose Mode of action

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

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( 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
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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
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