d e c r e a s e s in te n s it y a n d f r e q u e n

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Unformatted text preview: tic o n v u ls a n t . - d e c r e a s e s in te n s it y a n d f r e q u e n c y o f u te r in e c o n t r a c t io n s . - flu s h in g a n d s w e a tin g b e c a u s e o f d e c r e a s e d p e r ip h e r a l B P . In d ic a t io n : - p r e v e n t io n a n d c o n t r o l o f s e iz u r e s in s e v e r e p r e e c la m p s ia . - p r e v e n t io n o f u t e r in e c o n tr a c t io n s in p r e t e r m la b o r. S id e E f f e c t s : - flu s h in g , s w e a t in g , h y p o t e n s io n , d e p r e s s e d t e n d o n r e f le x e s , C N S d e p r e s s io n ( in c lu d in g r e s p ir a t o r y d e p r e s s io n ) . P r e c a u t io n s : - c o n tr a in d ic a t e d in m y o c a r d ia l d a m a g e , h e a r t b lo c k , m y a s th e n ia g r a v is o r im p a ir e d r e n a l f u n c t io n . M a g n e s iu m t o x ic ity , p o s s ib ly r e la t e d t o in c o m p le t e r e n a l e x c r e tio n , m a y b e e v id e n c e d b y t h ir s t, m e n ta l c o n fu s io n , o r a d e c r e a s e in r e f le x e s . D o s a g e : - lo a d in g d o s e 4 - 6 g m a g n e s iu m s u lf a t e , d ilu t e d in 1 0 0 m l o f flu id ( D 5 W , 0 . 9 % N a C l,o r L R - 6 0 m g /m l) o v e r 1 5 - 2 0 m in u t e s . - c o n t in u in g in fu s io n to m a in t a in c o n tr o l = 2 g / h r. - d o s e s in d iv id u a liz e d a s n e e d e d . - d e e p I M a c c e p t a b le , b u t p a in f u l. - m a y a ls o b e a d m in is t e r e d in s im ila r m a n n e r t o s t o p la b o r c o n t r a c t io n s . N u r s in g Im p lic a tio n s : - m o n it o r B P c lo s e ly d u r in g a d m in is t r a t io n - a s s e s s p t f o r r e s p ir a t o r y r a te a b o v e 1 2 b p m ; p r e s e n c e o f d e e p t e n d o n r e fle x e s ; a n d u r in a r y o u tp u t g r e a te r t h a n 3 0 m l/ h r b e f o r e a d m in is t r a t io n . - p la c e r e s s u s c ita tio n e q u ip m e n t ( s u c t io n , o x y g e n ) in th e r o o m . - k e e p c a lc iu m g lu c o n a t e ( a n t id o t e t o m a g n e s iu m ) in t h e r o o m , a lo n g w it h s y r in g e s a n d n e e d le s . R U B E L L A V A C C IN E C l a s s if ic a ti o n : a tt e n u a te d liv e v ir u s v a c c in e . A c t i o n : v a c c in a tio n p r o d u c e s a m o d ifi e d r u b e lla ( G e r m a n m e a s le s ) in f e c t io n th a t is n o t c o m m u n ic a b le , c a u s in g f o r m a t io n o f a n t ib o d ie s a g a in s t r u b e lla v ir u s . I n d i c a t i o n s : v a c c i n e is a d m in a f t e r c h ild b ir th o r a b o r t io n t o w o m e n w h o s e a n t ib o d y s c r e e n s h o w s th e y a r e n o t im m u n e t o r u b e lla . T h is p r e v e n t s r u b e lla in f e c tio n a n d p o s s ib le s e v e r e c o n g e n it a l d e f e c ts in th e f e t u s d u r in g a s u b s e q u e n t p r e g n a n c y . C o n t r a i n d ic a t io n s / P r e c a u t io n s : c o n t r a in d ic a t e d in w o m e n w h o h a v e a r e s p ir a t o r y o r f e b r ile in f e c t io n , a c t iv e u n t r e a t e d t u b e r c u lo s is , o r c o n d it io n s t h a t a ff e c t t h e b o n e m a r r o w o r ly m p h a t ic s y s t e m s o r a r e im m u n o s u p p r e s s e d , p r e g n a n t, o r s e n s itiv e t o n e o m y c in e g g s . V a c c in a tio n s h o u ld b e d e fe r r e d f r o 3 m o n t h s in c lie n ts r e c e iv in g im m u n e g lo b u lin o r b lo o d t r a n s f u s io n s . S id e E f fe c ts : t r a n s ie n t s t in g in g a t s it e , f e v e r ly m p h a d e n o p a th y a r th r a lg ia tr a n s ie n t a r t h r itis D o s a g e a n d R o u t e : t h e e n t ir e r e c o n s t itu te d v o lu m e o f a s in g le - d o s e v ia l o r 0 .5 m l fr o m a m u lt ip le d o s e v ia l. I n je c t S C in th e u p p e r o u t e r a s p e c t o f th e u p p e r a r m . N u r s i n g I m p l ic a t io n s : - t e a c h w o m a n a n d h e r p a r t n e r t o a v o id p r e g n a n c y fo r a t le a s t 4 w e e k s a f t e r v a c c in a tio n , b e c a u s e o f t h e p o s s ib ilit y t h a t a f e t u s m ig h t b e a ff e c t e d b y t h e liv e v ir u s i n t h e v a c c in e . S ig n e d in f o r m c o n s e n t is u s u a lly r e q u ir e d . - v ia ls s h o u d b e r e f r ig e r a t e d . - r e c o n s t it u te o n ly w it h d ilu e n t s u p p lie d w it h th e v ia l. - u s e im m e d ia t e ly a f te r r e c o n s titu t io n . - d is c a r d if n o t u s e d w it h in 8 h o u r s . - p r o t e c t f r o m lig h t . - d o n o t g iv e a t t h e s a m e t im e a s im m u n e g lo b u lin ....
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This note was uploaded on 11/08/2010 for the course NUR 2000 taught by Professor Rn during the Spring '10 term at Florida State College.

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