te a c h s ig n s a n d s y m p to m s o f r e c u r

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Unformatted text preview: c tiv it y . - te a c h s ig n s a n d s y m p to m s o f r e c u r r e n t p r e te r m l a b o r a n d f o llo w - u p m e d ic a l c a r e a fte r d is c h a rg e . M E T R O N ID A Z O L E ( F L A G Y L ) C l a s s if ic a t i o n : a n ti- in fe c t iv e s , a n tip r o t o z o a ls , a n tiu lc e r a g e n ts . A c t io n : d is r u p ts D N A a n d p r o te in s y n th e s is in s u s c e p t ib le o r g a n is m s . In d ic a t io n : - tr e a t m e n t o f in t r a - a b d o m in a l in f e c t io n s ( m a y b e u s e d w it h a c e p h a lo s p r o in ) ; g y n e c o lo g ic in fe c tio n s ; s k in a n d s k in s t r u c t u r e in fe c t io n s ; b o n e a n d jo in t in f e c t io n s ; C N S in fe c t io n s ; s e p t ic e m ia ; e n d o c a r d it is . - h e lic o b a c t e r p y lo r i - m a n a g e m e n t o f b a c te ria l v a g in o s is . C o n t r a in d ic a t io n s / P r e c a u t io n s : - c o n tr a in d ic . d u r in g f ir s t t r im e s te r p r e g n a n c y . - u s e c a u tio u s ly in h is t o r y o f b lo o d d y s c r a s ia s , h is to r y o f s e iz u r e s o r n e u r o lo g ic p r o b le m s , s e v e r e h e p a tic im p a ir m e n t . - P r e g n a n c y ; h a s b e e n u s e d t o t r e a t tr ic h o m o n ia s is in 2 n d a n d 3 r d t r im e s t e r s - b u t n o t a s s in g le - d o s e r e g im e n . - L a c t a t io n : if n e e d e d , u s e s in g le d o s e a n d in te r r u p t n u r s in g f o r 2 4 h r. - p t r e c e iv in g c o r t ic o s t e r o id s o r p r e d is p o s e d to e d e m a . S id e E f f e c t s : - s e iz u r e s - d iz z in e s s - h e a d a c h e - a b d o m in a l p a in - a n o r e x ia - n a u s e a - d ia r r h e a D o s a g e a n d R o u t e : P O . a n a e r o b ic in f e c t io n s - 7 . 5 m g / k g q 6 h r ( m a x 4 g / d a y ) . T r ic h o m o n ia s is - 2 5 0 m g q 8 h r fo r 7 d a y s o r s in g le 2 - g d o s e . A m e b ia s is - 5 0 0 - 7 5 0 m g q 8 h r fo r 5 - 1 0 d a y s . H . P y lo r i - 2 5 0 m g 4 t im e s /d a y o r 5 0 0 m g t w ic e d a ily fo r 1 - 2 w k . B a c t e r ia l v a g in o s is - 7 5 0 m g o n c e d a ily a s E R ta b le t s fo r 7 d a y s . N u r s in g Im p li c a t io n s : u a s s e s s p t f o r in f e c t io n ( v s , a p p e a r a n c e o f w o u n d , s p u t u m , r in e a n d s to o l, W B C ) a t b e g in n in g a n d t h r o u g h o u t t h e r a p y . o b t a in s p e c im e n f o r C & S b e fo r e in it ia t in g th e r a p y . m o n ito r n e u r o lo g ic s t a t u s d u r in g a n d a f t e r I V in f u s io n s . m o n ito r I & O a n d d a ily w e ig h t . m a y a lt e r r e s u lt s o f s e r u m A S T , A L T a n d L D H t e s ts M E T H Y L E R G O N O V IN E (M E T H E R G IN E ) C l a s s if ic a t i o n : o x y t o c ic A c t io n : s t im u la te s s u s t a in e d c o n tr a c t io n o f t h e u t e r u s a n d c a u s e s a r te r ia l v a s o c o n s t r ic t io n . In d ic a t io n s : u s e d f o r t h e p r e v e n t io n a n d t r e a t m e n t o f p o s t p a r t u m o r p o s t a b o r t io n h e m o r r h a g e c a u s e d b y u t e r in e a t o n y o r s u b in v o lu tio n . C o n t r a in d ic a t io n s /P r e c a u t io n s : - s h o u ld n e v e r b e u s e d d u r in g p r e g n a n c y o r to in d u c e la b o r. - d o n o t u s e I M if t h e m o th e r is h y p e r s e n s it iv e t o e r g o t . - c o n t r a in d ic a t e d f o r w o m e n w it h h y p e r t e n s io n , s e v e r e h e p a t ic o r r e n a l d is e a s e , c o r o n a r y a r t e r y d is e a s e , p e r ip h e r a l v a s c u la r d is e a s e , h y p o c a lc e m ia , o r s e p s is o r b e fo r e t h e f o u r t h s t a g e o f la b o r. S id e E f f e c t s a n d A d v e r s e R e a c t io n s : n a u s e a , v o m itin g , u t e r in e c r a m p in g h y p e r t e n is o n , d iz z in e s s , h e a d a c h e , d y s p n e a , c h e s t p a in , p a lp it a tio n s , p e r ip h e r a l is c h e m ia , a n d u t e r in e a n d g a s t r o in t e s t in a l c r a m p in g . D o s a g e a n d R o u t e : I M - u s u a l d o s a g e is 0 . 2 m g , e v e r y 2 - 4 h r f o r a m a x im u m o f f iv e d o s e s . P O - c h a n g e t o 0 .2 m g e v e r y 6 - 8 h r fo r a m a x im u m o f 7 d a y s . I V u s e n o t r e c o m m e n d e d ; u s e in life - t h r e a te n in g e m e r g e n c y o n ly ; m a y c a u s e s e v e r e h y p e r t e n s io n . N u r s in g Im p lic a t io n s : in tr a v e n o u s in je c t io n . s h o u ld b e r e f r ig e r a t e d . g iv e v ia d e e p I M in je c t io n a n d a s p ir a t e c a r e f u lly to a v o id r o ta t e s it e s if r e p e a t e d . m o n ito r v it a l s ig n s . a d m in is t e r a n tie m e tic s a n d a n t id ia r r h e a ls a s o r d e r e d . H E P A R IN ( H E P -L O C K ) C l a s s if ic a t io n : a n tic o a g u la n ts A c t io n : in lo w d o s e s , p r e v e n t s t h e c o n v e r s io n o f p r o t h r o m b in t o...
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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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