Medication Synthesis_LJefferson.docx - Labor and Delivery Medication Synthesis Pitocin Classification Therapeutic hormones Pharmacologic oxytocic’s

Medication Synthesis_LJefferson.docx - Labor and Delivery...

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Labor and Delivery Medication Synthesis Pitocin Classification: Therapeutic : hormones; Pharmacologic : oxytocic’s Gen/Brand Addtl. Names: Oxytocin. Safe Pediatric Dosing Ranges: 0.5-1 milliunits/min; increase by 1-2 milliunits/min q 30-60 min until desired contraction pattern established. (IV for spontaneous abortion) : 10 units infused at 20-40 milliunits/min. Routes (How is it given): IV and IM. Purpose (What do we use it for?): Induction of labor at term. IV : Facilitation of threatened abortion. IV, IM : Postpartum control of bleeding after expulsion of the placenta. Therapeutic Effects (What is the expected benefit?): Induction of labor. Control of postpartum bleeding. Contraindications Drug-Drug Food-Drug Other (When should we NOT give the med?): Severe hypertension may occur if oxytocin follows administration of vasopressors. Most Significant Side Effects (Which side effects may be most likely?): Increased uterine motility, painful contractions, coma, seizures, decreased uterine blood flow. Monitoring Pharmacokinetics (What labs do we monitor to assure that the med is performing adequately?) Onset, Peak, Duration: Monitor maternal electrolytes. Water retention may result in hypochloremia or hyponatremia. Nursing Considerations (What do we need to assess in the pt? ie: vitals, weight, neuros etc): Fetal maturity, presentation, and pelvic adequacy should be assessed prior to administration of oxytocin for induction of labor, assess character, frequency, and duration of uterine contractions; resting uterine tone; and fetal heart rate frequently throughout administration, monitor maternal BP and pulse frequently and fetal heart rate continuously throughout administration, monitor patient for signs and symptoms (drowsiness, listlessness, confusion, headache, anuria) and notify physician or other health care professional if they occur. Patient Education (What should we teach the pt. about this med?): Advise patient to expect contractions like menstrual cramps after administration has started. Be familiar with all medications that your client/family are using. Note if there are any effects on breastmilk.
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(Deglin, J. H., & Sanoski, C. A. (2018). Davis's Drug Guide for Nurses (16th ed.). Philadelphia, PA: F A Davis Company). Demerol Classification: Therapeutic Class: opioid analgesics; Pharmacologic Class: opioid agonists. Gen/Brand Addtl. Names: meperidine. Safe Pediatric Dosing Ranges: 1.1 mg/kg to 1.8 mg/kg orally, up to the adult dose, every 3 or 4 hours as necessary. Routes (How is it given): PO. Purpose (What do we use it for?): help relieve moderate to severe pain. Therapeutic Effects (What is the expected benefit?): works on the brain to change the way pain is perceived. Contraindications Drug-Drug Food-Drug Other (When should we NOT give the med?): sedatives ( diazepam, alprazolam, Xanax, lorazepam, Ativan, Versed), sleeping pills, muscle relaxers, drugs that increase serotonin levels.
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