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OB DRUG CARDS - N A L B U P H IN E(N U B A IN C l a s s if...

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N A L B U P H I N E ( N U B A I N ) C l a s s i f i c a t i o n : A c t i o n : I n d i c a t i o n : C o n t r a i n d i c a t i o n / P r e c a u t i o n s : - h a s b e e n u s e d d u r i n g l a b o r , b u t m a y c a u s e r e s p i r a t o r y d e p r e s s i o n i n t h e n e w b o r n . o p i o i d a n a l g e s i c s . b i n d s t o o p i a t e r e c e p t o r s i n t h e C N S . A l t e r s t h e p e r c e p t i o n f o a n d r e s p o n s e t o p a i n f u l s t i m u l i w h i l e p r o d u c i n g g e n e r a l i z e d C N S d e p r e s s i o n . - m o d e r a t e t o s e v e r e p a i n . - a n a l g e s i a d u r i n g l a b o r - s e d a t i o n b e f o r e s u r g e r y - s u p p l e m e n t t o b a l a n c e d a n e s t h e s i a - m a y p r e c i p i t a t e w i t h d r a w a l i n p t w h o a r e p h y s i c a l l y d e p e n d e n t o n o p i o i d s a n d h a v e n o t b e e n d e t o x i f i e d . - u s e c a u t i o u s l y i n h e a d t r a u m a ; i n c r e a s e d i n t r a c r a n i a l p r e s s u r e ; s e v e r e r e n a l , h e p a t i c , o r p u l m o n a r y d i s e a s e ; h y p o t h y r o i d i s m ; a d r e n a l i n s u f f i c i e n c y ; a l c o h o l i s m . S i d e E f f e c t s : N u r s i n g I m p l i c a t i o n s : T o x i c i t y a n d O v e r d o s e : - d i z z i n e s s - h e a d a c h e - s e d a t i o n - d r y m o u t h - n a u s e a - v o m i t i n g - c l a m m y f e e l i n g - s w e a t i n g D o s a g e a n d R o u t e : 1 0 m g q 3 - 6 h I V . M a y b e g i v e n b y P C A . ( m a y r e s u l t i n u n p r e d i c t a b l e , s e v e r e r e a c t i o n s - r e d u c e i n i t i a l d o s e o f n a l b u p h i n e b y 2 5 % ) . - a s s e s s B P , p u l s e , a n d r e s p i r a t i o n s b e f o r e a n d d u r i n g a d m i n i s t r a t i o n . I f R R < 1 0 / m i n , a s s e s s l e v e l o f s e d a t i o n . P h y s i c a l s t i m u l a t i o n m a y b e s u f f i c i e n t t o p r e v e n t h y p o v e n t i l a t i o n . D e c r e a s e d o s e b y 2 5 % - 5 0 % i f n e c e s s a r y . - m a y c a u s e i n c r e a s e d s e r u m a m y l a s e a n d l i p a s e c o n c e n t r a t i o n s . - u s e w i t h e x t r e m e c a u t i o n i n p t r e c e i v i n g M A O i n h i b i t o r s N a r c a n i s t h e a n t i d o t e - d i l u t e 0 . 4 m g a m p u l e i n 1 0 m l o f N S a n d a d m i n i s t e r 0 . 5 m l b y d i r e c t I V p u s h e v e r y 2 m i n u t e s .
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P R O G E S T E R O N E ( C R I N O N E , P R O C H I E V E , P R O M E T R I U M ) C l a s s i f i c a t i o n : A c t i o n : I n d i c a t i o n : C o n t r a i n d i c a t i o n s / P r e c a u t i o n s : S i d e E f f e c t s : h o r m o n e s p r o d u c e s s e c r e t o r y c h a n g e s i n t h e e n d o m e t r i u m . I n c r e a s e i n b a s a l b o d y T e m p e r a t u r e . R e l a x a t i o n i n u t e r i n e s m o o t h m u s c l e . M a m m a r y a l v e o l a r t i s s u e g r o w t h , p i t u i t a r y i n h i b i t i o n . R e s t o r a t i o n o f h o r m o n a l b a l a n c e w i t h c o n t r o l o f u t e r i n e b l e e d i n g . S u c c e s s f u l o u t c o
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